HomeMy WebLinkAbout26-2654 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG92622OLCERA
COLLISION REPORT 1591971
CASE# 26-2654 2
INTERSTATE ❑ CITY STREET FIRE I
RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOCAI-A`NG 4100 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 s 28
TRIBAL UNITS 02 STRUCK ❑
RESERVATION : 1 1
2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
eaCL s on' 04 - 06 - 2026 1123 17 =.= S 8 W❑ OF e 1070 s
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO. e .�
4a
NE 12TH ST MILE POST
❑
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 1. FEET e S 8 W e EDMONDS AVE NE
0 1 29
MOTOR PEDAL- DAMAG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YES No �/ D:2537616873 0 1 30
5❑ LAST NAME CONDE FIRST NAME EDGAR MIDDLE R 1 2 31
INITIAL
STREET ] 7625 216TH ST E
NEW ADDRESS CITY', GRAHAM S7 WA ZIP: 983389882 2
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYES NO INTERLOCKYES NO YES NO
8❑ DCIENSE# STATE WA SEXI M MMDDYY' 12 - 29 - 1963 1 2 32
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USE ET CLASSY 1 [NATURE of INJURIES 2❑
10 2 LI ENSE' D56117D STATE WA VIN# 2GC4YME73R1115801 3
TRAILER STATE TRAILER STATE
11 2 5❑ PLATE# PLATE# 11ROM To
TRLR rRLR 7 3 33
12 2 5 VIN#' VIN#
FROM TO
VEH.YEAR 2O24 MAKE CHEV MODEL SILVER STYLE VEHICLE TOWED[n TO ZBLIN TOWEDBY GOVT VEHICLE g 1 34
13� DAMAGE YES II_II NO YESII_I) NO
REGISTERED OWNER INFO ERC FOUNDATIONS INC.7625216THSTE GRAHAM WA 98338 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
3 14 LIABILITY INSURANCE❑ INSURANCE CO MID-CENTURY INS.CO.60477-09-11 4
IN EFFECT &POLICY# 9TOP _
srn Nowc ves❑NO❑ CITATION# 6AO190285 CHARGE FAIL TO YIELD MOTOR VEHICLE s a oorrob z 36
15❑
MOTCYR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE CYCLE nWNFR YES�/ NO D:2063798548
16�
LAST NAME CODIGA FIRST NAME JASMINE MIDDLE H
INITIAL
17
STREET ❑ 37
NEW ADORE SS❑ 12523 50TH PL S CITY SEATTLE ST, WA ZIP 981783431
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38
INTERLOCKYES NO INTERLOCK YES NO YES No
19 DRIVER'S '
MMDDYY —
20❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET INJURY 7 NATURE OF INJURIES ❑ 40
USE CLASS ' LEFT SIDE PAIN
21[ LICENSLATE E CEV1715 rare OVA vIN# 3FAHP37392R204031 41
22❑ PLATE# STATE PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
TOWED BY GOV HI 44
VEH.YEAR 2002 MAKE FORD MODEL FDC(/$ STYLE DAMIAGE TOWED✓ No BLIN BANKERS
24❑ REGISTERED OWNER INFO JENNtFER CODIGA 1312664TH AVES SEATTLE WA 98178 VEHICLE N0.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# 9TOP
1-1— YES❑ NCO CITATION# 6AO190286 CHARGE OP MOT VEH W/OUT INSURANCE io BOTTOM
Lecnlly
25 s e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
C.ARNOLD 12509 WA0171300
26❑
PART A PAGE 01 OF
3000-348-189(R 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG92622
COLLISION REPORT III III III III III 111
1591972 CASE# 26-2654
E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
M
(LAST,FIRST,MIDDLE INITIAL) SEIBER JORDAN R
ADDRESS&PHONE
2201 NE 20TH ST RENTON WA 98056 2063135960 SEXi M MMDooYBYYY 05 — 17 — 1983
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
POS. USE '.CLASS � -- —�
:NAME
(LAST EIFS7 MIDDLE INITIAL}
ADDRESS&PHONE#
SEX MMDDYYYY D.O.B. —
PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURE CFINJURIES
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
Please see subsequent narrative pages
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
C.ARNOLD 04-06-26 01:39 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 4/7/2026 3:46:57 PM
BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 11:24 AM TIME POLICE ARRIVED i 11:30 AM
PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4
REPORT NO. EG92622 CASE# 26-2654 DATE OF COLLI r�510NN + 04/06/26 11:23
L1
NARRATIVE
CC 26-2654
On 4/6/2026 at 1123 hours I was dispatched to a motor vehicle collision at the intersection of
Edmonds Ave NE and NE 12th St in the City of Renton, King County, Washington.
Pre-Collision
Driver 2 stated that she was facing North on Edmonds Ave NE at NE 12th St at the posted stop sign,
preparing to go straight ahead on Edmonds Ave NE.
Driver 1 stated that he was facing East on NE 12th St at Edmonds Ave NE facing a stop sign.
Collision
Driver 2 stated that she began to proceed into the intersection after coming to a stop and upon doing
so, Unit 1 entered the intersection as well and the front bumper of Unit 1 collided with the driver side
doors of Unit 2.
Driver 1 stated that he came to a complete stop at the posted stop sign and proceeded to enter the
intersection as he thought that he had arrived there before Unit 2. Driver 1 stated that upon moving
forward, the front bumper of Unit 1 collided with the drivers side doors of Unit 2.
A witness on the East side of the intersection facing West stated that he saw both vehicles arrive at
the intersection at approximately the same time, and that Unit 1 possibly did not come to a complete
stop at the stop sign. This witness was driving a Tesla and when I checked for video, it had not yet
been set up as the vehicle was brought home the day this collision occurred.
Driver 2 informed me that she did not have insurance.
Injuries
Driver 2 complained of pain in her left side, but refused treatment at the scene.
Vehicle Disposition
Unit 1 was rendered inoperable and was towed from the scene by Bankers
Proximate Cause
I determined that Driver 1 is the proximate cause of this collision because when two vehicles
approach or enter an intersection from different highways at approximately the same time, the driver
of the vehicle on the left shall yield the right-of-way to the vehicle on the right.
Given that the witness stated that both Unit's arrived at approximately the same time, had Driver 1
yielded the right of way to Driver 2, this collision would not have happened. Driver 1 was cited
reference RCW 46.61.180.
Driver 2 was cited reference RCW 46.30.020 for no insurance.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically signed by Officer C. Arnold #12509 at 13:32 on 4/6/2026 in the City of Renton, King
County, Washington.
PAGE 3 OF 4
REPORT NO. EG92622 CASE# 26-2654 DATE AND TIME 04/06/2611:23
OF COLLISION
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PAGE 4 OF 4