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HomeMy WebLinkAbout26-2830 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG93698OLCERA COLLISION REPORT 1591971 CASE# 26-2830 2 INTERSTATE CITY STREET El STATE ROUTE OTHER LOCAI-A`NG 4250 3 C©DINGCOUNTY RD PRIVATE WAY 2❑ TRIBAL i UNITS#OF 02 OBJECT CK STREET LIGHT POLE 1 28 i RESERVATION : 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# DATE OF N E IN eDL�ISION' 04 - 11 - 2026 0825 17 =.= S 8 W E OF M 1070 a 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ BLOMAPLE VALLEY HWY MILE POST e 1400 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 MILES 1.1 FEET B S B W e 0 1 29 MOTOR PEDAL- DAM AG TSHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YES NHREO 30 6❑ LAST NAME UNKNOWN FIRST NAME MIDDLE t 1 2 31 INITIAL STREET ❑ CITY', ST ZIP 2 NEW ADDRESS 7 CDL IGN(TIUN REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYEs NO INTERLOCICYES NO YES NO 8❑ LICIENSE# SRVERSTTATE SEX U MMDDYY' —�— 32 9 ON DUTY STATUS' AIRBAG 9 RESTR 9 EJECT 1 HELM USEET 9 CLASSY 0 NATURE OF INJURIES 2 10 LI ENSE' D22290K STATE WA VIN# 2FTRX18W3XCA78339 3 TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# 3 ROM TRLR TRLR 7 3 33 12 VIN#' VIN# FROM TO 13 4 VEH.YEAR 1999 MAKE FORD MODEL F150 STYLE PK VEHICLE TOWED 2 TO fiS46LIN ajWgYMEYERS VEHICLE✓ m 34 DAMAGE IIII._IIII REGISTERED OWNER INFO gNOREW SPEARS 19212SE209THPL RENTON WA980580:9999999999 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 14❑ LIABILITY INSURANCE❑ NSURANCE CO IN EFFECT &POLICY# 9TOP VEn" CHARGE 5 36 Lec Ly YES❑NO❑ CITATION# t a 80TFOM 15❑ STANDING 1 7 e MOTOR PEDAL-:. PROPERTY DAM THR OLD MET PHONE UNIT 02 � � PEDESTRIAN � ✓ VEHICLE CYCLE' OWNER YES✓ NO 16❑ LAST NAME RENTON FIRST NAME CITY MIDDLE INITIAL 17 F1 STREET ❑ ❑ 1055 S GRADY WAY CITY RENTON ST, WA ZIP 98056 g 37 NEW ADDRESS 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED ❑ 38 INTERLOCKYEs No INTERLOCI£YES xz YEs NO 19 LICENS# STATE SEXU MMDDYY —� � 39 HELMET INJURY NATURE OF INJURIES 4Q 20❑ ON DUTY STATUS AIRBAG RESTR EJECT USE CLASSLICENSE ❑ 21[ PLATE# TATE VIN# 41 22❑ [TILER TAILER PLATE# STATE PLATE# STATE 42 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO YES NO REGISTERED OWNER INFO VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# 9TOP 1-1— ❑ ,.I—I CITATION# CHARGE to BOTTOM EEGnEEY YES NC 25 a s OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 PHILIP DAVIS 12018 WA0171300 PAGE 01 OF PART A 3000-348-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG93698 COLLISION REPORT III III III III III 111 1591972 CASE# 26-2830 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) '.NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE SEXi D.O.B. — MMDDYYYY PASSENGERQ WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ; HELMET NJURY NATURE OF INJURIES POS. ' USE CLASS 1 ----� :NAME (LAST FIRST MIDDLE INITIAL) ADDRESS&PHONE# SEX D.O.B. — MMDDYYYY PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURECFINJURIES POS. USE CLASS ----� :NAME (LOST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX MMDDYY D.O.B. YY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. I USE CLASS NARRATIVE 26-2830 On 4-11-26 around 0843hrs 1 dispatched to a collision at 15150 140th Way SE, Renton, King Co, WA. Initial information was the heavily damaged vehicle, D22290K/WA, was parked in the roundabout after colliding with a light post. On arrival 1 observed vehicle bearing both plates, and matching VIN 2FTRX18W3XCA78339. The vehicle had heavy damage to both passenger side doors, both passenger side windows were smashed, and the front windshield was damaged. Further the vehicle was parked blocking a fire lane. KCSO attempted to contact the RO, whose parents advised they did not know how to contact him. The vehicle was impounded due to being a possible unreported stolen vehicle and for blocking a fire lane. Initially, 1 did not see any downed light poles as 1 entered the complex from the east on MVH. However, property management advised there was a downed post to the west of the complex entrance on MVH. I observed the pole knocked off its base and advised Renton city streets. I contacted the reporting party by phone, but the RP did not observe the collision he only observed someone walking around the damaged vehicle parked in the roundabout. I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by P Davis 12018 on April 11, 2026 at 09:34 hours in Renton, King Co, WA. I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. PHILIP DAVIS O4-11-26 11:09 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE JESSE VANDERHOEK 11631 411112026 4:16:18 PM BADGE OR ID# 12018 ORI# WA0171300 TIME POLICE DISPATCHED 8:27 AM TIME POLICE ARRIVED i 8:43 AM (PART B 3 Da-3mx—attar(txIMR) PAGE 2�OF F3 REPORT NO. EG93698 CASE# 26-2830 DATE AND TIME 04/11/2608:25 OF COLLISION 8 ,01 s. { a a PAGE 3 OF 3