HomeMy WebLinkAbout26-2906 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 6 27c
COLLISION REP FIT 1591971
SASE 26-2906 2
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2❑ TOTAL#OF OBJECT 1 ❑28
TRIBAL UNITS 02 STRUCK CONCRETE/JERSEYBARRIER
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
cawsloN 04 - 1-- 2026 1353 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO.
MAPLE VALLEY HWY
e✓ --- ----� ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ VV a 150TH LN SE
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2063763871 30
6� LAST NAME IVERSON FIRSTNAME OSCAR MIDDLE D 1 2 31
INITIAL
STREET ❑1 19223 SE 269TH ST CITY COVINGTON ST WA ZIP 980425053 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs NO YES R NO
8❑ LICIENSE# STATE WA SEX'M I ELMMDDYY' 02 — 25 — 1997 =32
9 ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT 1 HELMET
2 CLASS 1 NATURE OF INJURIES z❑
3
10❑ Pi ATNES# CFV4246 sTAr WAv N# JHMCP26418C006025
TRAILER STATE TRAILER STATE
11 5 0 PLATE# PLATE# FROM TO
TRLR. TRLR 3 7 33
12❑ vIN#' VIN#
FROM
34
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T Y GOVT.VEHICLE
13 2008 HOND ACCOR DAMAGE YES NO � �MEYERS TOWING YES[:] No
REGISTERED OWNER INFO OSCAR IVERS0111223 SE 269TH ST COVINGTON WA 980425053 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14❑ LIABILITY INSURANCE❑ INSURANCE CO <1�3g
4
IN EFFECT &SUR N#❑ LEGA LE CHARGE 536
15 2 VE-LNGYEs❑NO CITATION# 6A0200682 OP MOT VEH W/OUT INSURANC
�IJNIT MOTOR PEDAL-. PEDESTRIAN PROPERTY � DAM THR OLD MET PHONE
VEfiICLE CYCLE: OWNER YES NO �/
16❑
LAST NAME RENTON FIRST NAME CITY OF MIDDLE
INITIAL
17❑ STREET ❑', 1055 S GRADY WAY CITY' RENTON ST WA ZIP 98055 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL TRANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK YEs I I NOF YEs t l NO❑
19 LLIRIVERS # STATE SEX U MMDDYY —❑_ 39
HELMET INJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG RESTR EJECT USE CLASS ❑
❑21❑ LICENSE TArE VIN# 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
UIN#. 'IN#.
VEH YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN
TOWED BY Gov HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE❑ INSURANCE
#E CO
IN EFFECT &PO I 9TOP 5
VE"'LE ❑ ,J� CITATION# CHARGE i o BOTTOM
LEGALLY YES N J
25 s e
7CA
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26LAN 12007 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG94919
COLLISION REPORT III III III III III 111
1591972 CASE# 26-2906
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME
(LAST FIRST,MIDDLE INITIAL)_
ADDRESS&PHONE#
SEX D.O.B. - -
MMDDYYYY.
PASSENGER❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
PM USE CLASS
NAME
'(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE# D D B
SEX MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS R PHONE#
SEX D.O.B.
MMDDYYYY. -
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ POS. 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.CATALAN 04-14-26 03:24 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
M.LEVERTON 2517 4/16/2026 6:46:40 AM
BADGE OR ID# 12007 OR]#` WA0171300 TIME POLICE DISPATCHED; 1:54 PM TIME POLICE ARRIVED i 1:59 PM
PART I PAGE IT]OF 4�
REPORT NO. EG94919 CASE# 26-2906 OF COLLISION
04/14/26 13:53
OF CbLLI510N
NARRATIVE
On April 14, 2026, at 1353 hours dispatch requested that I respond to a single vehicle collision at the
intersection of Maple Valley Hwy and 150th Ln SE, in the city of Renton, county of King, and State of
Washington.
Upon my arrival I confirmed with the driver of Unit#1 that no injuries were sustained, so no medical
assistance was needed.
I spoke with the driver, identified as Oscar Iverson, and he told me he was traveling westbound on
Maple Valley Hwy in lane 2 of 2. As he passed 150th Ln SE, he drove over a large pool of water
which caused his vehicle to hydroplane and lose control. He spun around several times until he
struck a jersey barrier, damaging his vehicle severely and making it undrivable.
The vehicle came to rest on the right shoulder of the westbound lanes. The vehicle was facing the
wrong way.
While requesting Oscars driving documents, he stated that his vehicle was uninsured. He mentioned
that his wife failed to renew his insurance policy.
I gave Oscar a Sector infraction for failing to have insurance but gave him a verbal warning for
traveling too fast for conditions (raining/wet).
Oscar's vehicle is considered a traffic safety hazard, so it was impounded by Gene Meyers Towing.
The jersey barrier is sustained little to no damage.
I provided Oscar with an exchange of information.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
C. Catalan 04/14/2026 Renton
PAGE 3 OF 4
REPORT NO. EG94919 CASE# ' 26-2906 DATE AND TIME 04/14/26 13:53
OF COLLISION
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