HomeMy WebLinkAbout26-2419 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG93693oc� RA
COLLISION REPORT 1591971
CASE# 26-2419 2
INTERSTATE CITY STREET FIRE I
RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOCALANG 4200 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' 03 - 28 - 2026 1221 17 =.= S 8 W e OF IN e 1070 s
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO. e .�
4a
S 2ND ST MILE POST
❑
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 �. FEET e S 8 W e WELLS AVE S
2 0 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:4254428031 0 1 30
5 LAST NAME TWILLEGAR FIRST NAME JAMES MIDDLE D 1 1 2 31
INITIAL
STREET ] 15400 SE 155TH PL UNIT 27 CITY; RENTON ST WA ZIP; 980586337 2
NEW ADDRESS
7❑ +CDL IGNITION REQUIRED IGNITION ENT MEDICAL TRANSPORTED 3
INTERLOCKYEs ✓NO INTERLOCKYePRES NO✓ YES NO✓
DCIEVERS NSE# STATE WA SEXI M MMDDYY' O6 - 03 - 1986 1 2 32
8❑
9 ON DUTY STATUS' AIRBAG 1 RESTR 4 EJECT 1 N USEET 2 CLASSY 1 NATURE of INJURIES 2
LICENSE, CTC6761 STATE WA VIN# 4S3BH675747606138 3
10 Fq I PI ATP tt
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# ROM To
TRLR zRLR 7 7 33
12 2 5 VIN#' VIN#
FROM TO
VEH.YEAR 2004 MAKE SUBA MODEL LEGSW STYLE P4 VEHICLE TOWED fj TO ZBLIN TOWEDBY GOVT VEHICLE 7 7 34
13 DAMAGE YES II_II NO YESII_I) NO✓
REGISTERED OWNER INFO JAMES TWILLEGAR 15400SE155THPL UNIT27 RENTONWA98058 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
1 LIABILITY INSURANCE INSURANCE CO 2 3 4
14 SRfSTOL WEST G01-6910317-00
IN EFFECT &POLICY# 4TOP
VEnicLE CHARGE t 5 36
Lec , YES❑NO❑ CITATION# 70 80TTOM
15❑ STANDING s e
MOTOR ✓ PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE CYCLE nWNFR YES�/ NO D:2065457841
16�
LAST NAME DUNNE FIRST NAME ANDREW MIDDLE C
INITIAL
17 F1 STREET ❑❑ 6101 SE 2ND PL CITY' RENTON ST, WA ZIP 980597071 4 37
NEW ADDRESS
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED'. 38
INTERLOCKYES NO✓ INTERLOCK YES NO✓ YES NO✓
19 DRIVER'S STATE WA SEX M D.O.B. 05 17 2006 39
LICENSE# MMDDYY —
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U ET 2 INJURY 1 NATURE OF INJURIES 40
CLASS
21 LICENSLATE E CBE4150 TATE WA SIN JF2SHADC7DH403817 41
22❑ PLATE# STATE[TILER I PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 201$ MAKE $(JBq MODEL FORESTS STYLE p4 VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO✓ VES NO✓
REGISTERED OWNER INFO MARGARET DUNNE 6101 SE 2ND PL RENTON WA 98059 VEHICLE NO.2
SHADFY DAMAGED AREA
3 4
LIABILITY INSURANCE INSURANCE CO USAA 00505 89 85C
IN EFFECT &POLICY# 9TOP
vew1— ❑ ,J—I CITATION# CHARGE t080TTOM
LEGALLY YES N
25 a e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
RAYMOND WATSON 13127 WA0171300
PAGE 01 OF
PART A 3000-345-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG93693
COLLISION REPORT III III III III III 111
1591972 CASE# 26-2419
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 INJURY 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
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.
RAYMOND WATSON 04-11-26 07:02 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
JESSE VANDERHOEK 11631 1 411112026 3:54:07 PM
BADGE OR ID# 13127 ORI# WA0171300 TIME POLICE DISPATCHED'; 12:31 PM TIME POLICE ARRIVED i 12:34 PM
PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4
REPORT NO. EG93693 CASE# 26-2419 DATE OF COLLI r�510NN + 03/28/26 12:21
L1
NARRATIVE
26-2419
This report is a summary of events that occurred and is not an exact sequencing of events.
Statements have been paraphrased and summarized.
On 03/28/2026 at approximately 1231 hours, myself, Officer R. Watson, was dispatched to a collision,
at the intersection of S 2nd ST and Wells AVE S, within the City Limits of Renton, County of King,
State of Washington.
Dispatch notes stated that there were 2 vehicles involved, blocking the westbound lane, unable to
move.
I arrived on scene and observed one vehicle blocking the intersection of Wells AVE S and S 2nd ST.
Unit# 1, driven by James D. Twillegar (DOB 06/03/1986) verified by WA DOL photo, stated he was
driving a Red 2004 Subaru Legacy, WA plate CTC6761. There were no other passengers in the
vehicle. James said that he was traveling westbound on S 2nd ST when he attempted to change
lanes and collided with unit#2 because he did not see him in the lane. James was not injured and
declined aid. When I asked for James license, registration and insurance, he was able to provide me
with all documents. Unit#1 had moderate damage to the right side of the vehicle, no airbag
deployment and was able to be driven from the scene.
Unit#2 driven by Andrew C. Dunne (DOB 05/17/2006) verified by WA DOL photo, stated that he was
driving a Gray 2013 Subaru Forester, WA plate CBE4150. There were no other passengers in the
vehicle. Andrew stated that he was traveling westbound on S 2nd ST when unit#1 turned into him.
Andrew was not injured and declined aid. When I asked for Andrew's license, registration and
insurance, he was able to provide me with all documents. Unit#2 had moderate front right side
damage, no airbag deployment and was able to be driven from the scene.
An exchange of information was facilitated and the report number given to both drivers.
I certify (or declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically signed by Officer R. Watson #13127 04/11/2026 0701 hours, Renton, King County,
WA.
PAGE 3 OF 4
REPORT NO. EG93693 CASE# 26-2419 DATE AND TIME 03/28/2612:21
OF COLLISION
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