HomeMy WebLinkAbout26-2929 ("7—
STATECE TRAFFicNREPORT NO. EG95209 1 1 027
,tne COLLISION REP F 1591971
CASE# 26-2929 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 2 STATE ROUTE OTHER STOLEN
❑ ❑ VFHICLF ❑ LOCAL AGENCY 4150 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TRIBAL f UNITS#OF 02 OOTRIJCK 1 8 28
':.RESERVATION '. `.. 2
3 M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
COLT s oN 04 - 14 - 2026 2207 17 ❑. S e W❑ OF IN 8 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION 0 NON INTERSECTION ❑
SE PETROVITSKY RD BLOCK NO. 8 11600
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5 ,= FEET e S ❑ W❑ 116TH AVE SE
❑ �
OF 4 29
MOTOR ✓ PEDAL- DAM ETHRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs No ,/ D:2063515088 0 8 30
g LAST NAME D/AZ CARRILLO FIRST NAME MA MIDDLE D
INITIAL 1 F
2 31
STREET ❑ 18432 140TH AVE SE CITY RENTON WA
ST ZIp, 980588008 z
NEW ADDRESS
7 CDL fGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES NO✓ INTERLOCKYEs NC ✓ YEs NO',/
8 LICENSE# STATE WA SEX'F MMD]YY 08 - 04 - 1966 1 1 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 CLA Y 1 NATURE OF INJURIES z
LI CTNSE BWV8897 srnrE WA VIN# 5TDJZRFHXHS435905 3
10 1❑
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR TRLR 1 31
33
12 3 5 VIN# VIN#
FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 9 9 34
13 4 2017 TOYT HIGHLA SV DAMAGE YES�No ✓� YES❑ NO✓
REGISTERED OWNER INFO OWNEDSYDRIVER VEHIOLE NO. 1
SHADE INDAMAGED AREA ❑ 35
4 LIABILITY INSURANCE INSURANCE CO z��5
34
14 � PEMCO CA 1440016
IN EFFECT &POLICY#—1— CHARGE 36
—L,vYES❑NO❑ CITATION#15STANDwc
MOTOR � PEDAL- PROPERTY DAM THR OLD MET PHONE
UNIT 02 ICJ PEDESTRIAN ❑ ❑ D:4253245059
VEHICLE CYCLE: : OWNER YES✓ NO
16F1
LAST NAME PEREZ GUZMAN FIRST NAME LUIS MIDDLE I M
INITIAL
17❑ STREET 4402 S ROSE ST CITY' SEATTLE ST' WA ZIP 981184438 4❑ 37
NEW ADDRESS
18� ,� IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 38
YES No NTERLOCK YES Na,/� vEs ND;✓
19❑ DRIVERS' STATE WA SEX M I D O•11 05 _ 05 2000 39
LICENSE# MMDDYY -
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT ':1 HELMET 2 C`ASRS 7 HEAD OF INJURIES 40
❑21❑ LICENSE'gpD1998 TArE WA VIN}k KL1FG566468682080 41
1
PLATE#
42
22 PLATE#TAILER STATE PLATE#TRAILER STATE
23 43
TRLR RLft
UIN#. IN#
VEH.YEAR 2006 MAKE CHEV MODEL AVEO STYLE $D DAMIAGE TOWED NOO✓ BLIN TOWED BY GO YES N HI 44
YES O✓
24
REGISTERED OWNER INFO OWNED BYDRIVER VEHICLE NO.2
SHADE IN DAMAGED AREA
3 4
LIABILITY INSURANCE INSURANCE CO
IN EFFECT &POLICY# tUR
Eeia. F „I�1 CITATION# CHARGELY YES N25
OFFICER'S NAME(PRINT) OFFICER PHONE ��R ID# AGENCY26JAMAAL KEARSE WA0171300
PART A . PAGE 01 OF
3060-345-159(R 11(1S1
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG95209
COLLISION REPORT III III III III III 111
1591972 CASE# 26-2929
E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
M
(LAST FIRST,MIDDLE INITIAL) VARGAS ZABALA DEIVIS A
ADDRESS&PHONE
835 HILLTOP AVE KENT WA 980313115 SEXi (y� MMDD B. 01 - 14 - 2005
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
z ❑ 2 POS. 3 2 4 1 USE 1 2 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.
JAMAAL KEARSE 04-15-26 02:20 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY DATE
CASEY PROCTER 12123 4/17/2026 3:49:18 AM
BADGE OR ID# 12994 ORI# WA0171300 TIME POLICE DISPATCHED 10:07 PM TIME POLICE ARRIVED i 10:09 PM
PART B 3000-345.160(R1Vt8) PAGE 0 OF 47
E AND
REPORT NO.i EG95209 CASE# 26_2929 OF COLLISIONS 04/14/26 22:07
OF COLLISION
NARRATIVE
Unless otherwise noted, all events took place in the City of Renton, in the County of King, in the State
of Washington.
This incident was captured on my body worn video camera and in-car cameras. This report is a
summary of events that occurred and is not an exact sequencing of events.
On 4/14/2026, at approximately 2207 hours I was dispatched to a report of a collision at the
intersection of SE Petrovitsky RD and 116th Ave S. Dispatch advised 2 vehicle collision blocking the
turn lane.
At approximately 2209 hours I arrived on scene. Unit 1 was on SE Petrovitky Rd facing eastbound in
the center turn lane. Unit 2 was on SE Petrovitsky RD in the left turn lane at the intersection of 116th
Ave SE. Unit 1 had damage to the driver side. Unit 2 had damage to the front driver side. Unit 2 had 2
occupants during the collision. I asked all parties if anyone was injured. The driver of Unit 1 stated
she was uninjured. The driver of Unit 2 stated he had complaints pain. The front passenger of Unit 2
had no complaints of pain. Renton Fire responded and evaluated all parties involved.
I contacted the driver of Unit 1 and he advised the following. She was driving southbound on 116th
Ave SE turning eastbound onto SE Petrovitsky Rd. She cut the turn to short and struck the front driver
side of Unit 2 with the front driver side of Unit 1. The airbags did not deploy.
I contacted the driver of Unit 2 and he advised the following. He was facing westbound in the left turn
lane of SE Petrovitsky Rd stopped at a red light. Unit 1 had the green light and was driving
southbound on 116th Ave SE turning eastbound onto SE Petrovitsky Rd. Unit 1 cut the turn to quick
and struck the front driver side of Unit 2 with the front driver side of Unit 1
The passengers of Unit 2 advised a similar story to the driver of Unit 1.
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 J. Kearse #12994 4/15/2026 0202 Hours Renton, King County,
Washington
PAGE 3 OF 4
REPORT NO. EG95209 CASE# 26-2929 DATE AND TIME 04/14/26 22:07
OF COLLISION
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