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HomeMy WebLinkAbout26-3197 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 2 27c COLLISION REP FIT 1591971 CASE 26-3197 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4Y00 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 1 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS 03 STRUCK RESERVATION z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ COLLISION' 04 - 1-- 2026 1534 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ 8715 S 133RD PL BLOCK NO. e✓ 8700 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e 1 5 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ,/No D:2065191555 0 11 30 6� LAST NAME NGUYEN FIRSTNAME LONG MIDDLE H 1 2 31 INITIAL STREET ❑, 8715 S 133RD PL TTLE WA NEW ADDRESS ST zIP', 96178 2 CITy SEA 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YES[:]NO 1/ INTERLOCKYEs NO�/ YES R No�/ 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 1 RESTR 4 EJECT 1 HELMET USE 2 1 CLASS NATURE OF INJURIES z❑ 3 LICENSE CNJ0922 STATE WA VIN# WVWD67AJ8EW005026 10 9❑ Pr ATF� TRAILER STATE TRAILER STATE 11 2 5 PLATE# PLATE# FROM ro TRLR. TRLR O 0 33 12 2 5 VIN#j VIN# FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT.VEHICLE 7 $ 34 13 2 2014 VOLK GOLF HB DAMAGE YES NO YES[:] NO✓ REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA ❑ 35 14 LIABILITY INSURANCE Z INSURANCE CO FARMERS 9874303840 3 IN EFFECT &POLICY# 9TOP VE—LE CHARGE 36 LEGALLv YES❑NO❑ CITATION# 10 BOTTOM 15❑ STANDING 8 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT a2 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2062148247 16 a LAST NAME SESSOMS FIRST NAME DEREK MIDDLE A INITIAL 17❑ STREET ❑' 8625 S 133RD PL CITY' SEATTLE ST WA ZIP 98178 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL TRANSPORTED 38 INTERLOCK YES❑No� INTERLOCK YEs I I NOF YEs t l NOF,/ 19 LDIIVER # STATE WA SEX M MMDDW 01 21 1996 0 39 HELMET {NJURY 1 NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 1 RESTR 4 EJECT 1 USE 2 CLASS ❑ 21❑ LICENSE I CAX5975 TATe WA vIN# WVWMP7AN3CE509281 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE TRLR 23❑ VIN#. IN#. 43 RLR ' GI VEH YEAR 2012 MAKE VOLK MODEL CC STYLE $D DAMAGE TOWED NOO✓ BLIN TOWED BY ov HyES NO 1/ 44 24❑ ES REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2 SHADEDAMAGED AREA 3 4 LIABILITY INSURANCE INSU PORGY#E CO ALLSTATE 820958089IN STOP 5 --E ❑ ,J� CITATION# CHARGE 25 to BOTTOM LEGALLY YES N`L J s � a =AS I OQ NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 SWAN 7 12965 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG97519 COLLISION REPORT III III III III III 111 1591972 CASE# 26-3197 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. NICHOLAS SWAN 04-25-26 07:28 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE S.WOODWARD 11528 4/26/2026 4:40:56 AM BADGE OR ID# 12965 OR]# WA0171300 TIME POLICE DISPATCHED 3:34 PM TIME POLICE ARRIVED 3:41 PM PART I PAGE IT]OF REPORT NO. EG97519 CASE# 26-3197 OF COLLISION 04/24/26 15:34 OF CbLLI510N NARRATIVE #26-3197 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 04/25/2026 at approximately 1534 hours I was dispatched to a non injury, blocking accident at 8715 S 133rd PL in the city of Renton, King County, WA. Unit#1 was a white 2014 Volkswagen Golf with WA LIC CNJ0922 (VIN: WVWDB7AJ8EW005026). The driver of unit 1 was the sole occupant of the vehicle, was wearing their seatbelt, and had no injuries. Unit#2 was a grey 2012 Volkswagen CC with WA LIC CAX5975 (VIN: WVWMP7AN3CE50928). The driver of unit 2 was the sole occupant of the vehicle, was wearing their seatbelt, and had no injuries. Unit#2 stopped partially on the sidewalk and partially in the front yard of 8714 S 133rd PL. No damage was done to the landscaping. Roadway conditions were dry with clear skies at the time the collision occurred. Unit#1 was able to remove it self from the roadway. Unit#2 was also able to remove itself from the roadway. Driver#1 of Unit#1 was backing out of their driveway at 8715 s 133rd PL. There was a vehicle parked to the west of them. As they were backing out of the driveway and beyond the vehicle blocking their view to the west, they were struck in the rear passenger corner by unit#2. This collision caused their rear bumper cover to come completely off along with other various trim pieces. Unit#2 had just left their residence approximately 2 houses to the west. Unit#2 stated that as he was driving east on S 133rd PL at approximately 22mph, unit#1 backed out of their driveway into the roadway and the two vehicles collided in unit#2's front passenger corner. This then caused him to swerve across the street, on to the side walk, and into the front yard of 8714 S 133rd PL. This collision caused damage estimated to be above $1,000 to the front bumper and front passenger quarter panel of the vehicle. Pictures of the collision were uploaded to Axon from my department issued cell phone. Both drivers had insurance for their vehicles. An exchange of information was provided to each of them. At the conclusion of my investigation, I determined that Unit#1 was the proximate cause of the collision as they did not ensure the roadway was clear prior to entering from their driveway. If Unit#1 had not entered the occupied roadway, then this collision would not have occurred. This concludes my report. 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 N. Swan on 04/25/2026 at 0713 hours, in the City of Renton, WA. PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. EG97519 r`) POLICE TRAFFIC 1 27 COLLISION REPORT CASE# 26-3197 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY ;TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER ADDRESS ` CITY ST ZIP—1 I ' 4 ❑ NAME # PLACARD: :❑ GWVR NAME IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE I_J CYCLE _) PEDESTRIAN � OWNER � YES NO D:2062284615 MIDDLE.. 29 LAST NAME HUYNH FIRST NAME LOAN-ANH INITIAL STREET _—] H 30 NEW AnnRFrtP 8714 S 133RD PL CITY SEATTLE ST WA ZIP 98178 6 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 31 INTERLOCK YEs No zERLOCK YES E]Na� YEs N DRIVER'S STATE I SEX F MDYSYv' -� 2 LICENSE 7F-ION DUTY STATUS AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES F� USE CLASS 8 ❑ ' 1 32 LICENSE+ rar V1N.# PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TOWS E T SABLIN TOWED BY anvi vEHIG E FROM TO DAMAGE YES NO YES NO REGISTERED OWNER INFO. m 33 12 SHADE IN DAMAGED AREA FROM TO ((ABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# tGQ VEHICLE 34 13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE STANDING S} 8 7 6 14 ❑ UNIT Tr Vd IRE O CYDCLE OWNER YES AGE NOHRESHOLD MET PHONE El 35 PEDESTRIAN 15 LAST NAME FIRST NAME MIDDLE': INITIAL36 STREETIAL ❑ 16 NEn+AnnREs.�' CITY'. ST ZIP CDL IGNITION REdUiRED IGNITtGN PRESENT MEDICALTANSPORTED INTERLOCK YES No INTERLOCK YEs NO YEs NO El 17 37 LICENSE# STATE SEX MMDDDYBYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE (CLASS 19 ❑ vIN# 39 LICENSE PLATE# rnr 20 ❑ TRAILER' TRAILER ❑ 40 PLATE# STATE PLATE# STATE 21 ❑ TRLR TRLR 41 VIN# YIN#i 42 22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TO DUET SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO_ SHADE IN DAMAGED AREA 43 3 4 71 LIABILITY INSURANCE INSURANCE CO ' VEHICLE EFFECT &POLICY# I 970P - 4 44 24 VEHICLE YES NO❑ CITATION# CHARGE iq 60TiOM E:l C=DLv STANDING 8 7 6 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. NICHOLAS SWAN 04-25-26 07:28 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED E 26 � BADGE O#I'WA0171300 OA PAGE OF 3000-345-013(R 11118) REPORT NO. EG97519 CASE# ' 26-3197 DATE AND TIME 04/24/26 15:34 OF COLLISION 00 fir. t �i a � ti rt r Z 1 \ trc PAGE 5 OF 5