HomeMy WebLinkAbout26-2978 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EG97680 170
27
COLLISION REP FIT 1591971
SASE 26-2978 2
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4150 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ 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 1754 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BENSON DR S BLOCK NO. e✓ 2700 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ VV e S 27TH PL
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:4083550595 0 11
30
6� LAST NAME ELLIOTT FIRSTNAME MICHELLE MIDDLE M 1 1 2 31
INITIAL
STREET ❑ 1021 OLYMPIA AVE NE CITY RENTON ST WA ZIP 980563438 z
NEW ADDRESS
]❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I INTERLOCK YES[:]NO NTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVERS STATE WA SEXI F MM DAY' 05 1- 09 - 1983 2 32
CENSE 9 ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT 1 HELMET USE 2 1 CLASS NATURE OF INJURIES 2❑
3
10 9❑ PIATE14 CCX9560 STATE WA VIN# 2T3J1RFV1KC035123
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM ro
TRLR. TRLR 3 5 33
12 4 0 VIN#' VIN#
>; FROM TO
❑ VEH.YEAR 2019 TOYT RAV4 MAKE MODEL STYLE VEHICLE TOWED fn TO VBLINJ TOWED BY GOVT.VEHICLE 5 1
13 34
4 DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO BENJAMIN ELLIOTT 1121 OLYMPIA AVE NE RENTON WA 98056 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO STATEFARM 5117816E2647B 4
LI EFFECT I SUR N# TOPVEHICLE CHARGE 36
LEGALLY Yes❑NO❑ CITATION# <1�3
OTTOM
15❑ STANDING 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2534867144
16 a
LAST NAME VALDEZ FIRST NAME BREANNA MIDDLE I L
INITIAL
17❑ NEW STREETR 10628 S
7 E 213TH CT CITY KENT ST WA ZIP 980314023 37
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL-T�RANSPORTED � 38
INTERLOCK YES❑No� INTERLOCK YEs It I NOF YES
t l NOF,/
19 LDIIVEW # STATE WA SEX F M .C.B. 07 20 _ 2001 39
20❑ ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 HELMET 2 INJURY 7 NATURE of INJURIES ❑ 40
USE CLASS BACK PAIN
❑ 41
21❑ PLATE# BFS3715 TATE WA VIN# 2TIBURHEXHC834067 1
42
22❑ PLATE# STATE PLATE ILER# STATE
TRLR
23❑ UIN#. IN#.
43
RLR
'
VEH YEAR 2017 MAKE TOYT MODEL COROLL STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO ERIC VALDEZ 10628 SE 213TH CT KENT WA 98031 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE INSU8 PORGY#E CO ALLSTATE 807545828IN STOP 5
'E""LE LEG ❑ N,J� CITATION# CHARGE io BOTTOM
ALLY YES I I -T
6
25 =RSE
PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26 12994 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG97680
COLLISION REPORT III III III III III 111
1591972 CASE# 26-2978
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.
JAMAAL KEARSE 04-16-26 09:10 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
CASEY PROCTER 12123 4/26/2026 10:13:51 PM
BADGE OR ID# 12994 ORI# WA0171300 TIME POLICE DISPATCHED 5:55 PM TIME POLICE ARRIVED',5:59 PM
PART I PAGE IT]OF 4�
REPORT NO. EG97680 CASE# 26-2978 O COLLOTINIE
OFF CbLLI510N 04/16/26 17:54
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 4/16/2026, at approximately 1801 hours I was self-dispatched to a report of a collision at the
intersection of Benson Dr S and S 27th Pl. Dispatch advised 2 vehicle collision with unknown injuries.
At approximately 1806 hours I arrived on scene. Other officers were already on scene. Unit 1 and
Unit 2 were pulled off to the side on S 27th PI both had significant front damage. Renton Fire
responded and evaluated all parties involved.
I contacted the driver of Unit 1 and she advised the following. She was driving west bound on S 27th
PI. She came to a stop at the stop sign at Benson Dr S. She entered the intersection to turn
southbound on Benson Dr S and the front driver side of her vehicle was struck by the front of Unit 2.
She advised she didn't see the vehicle. Unit 1 had airbag deployment and needed to be towed.
I contacted the driver of Unit 2 and she advised the following. She was driving northbound on Benson
Dr S in lane 1 of 2. She was approaching S 27th St when Unit 1 pulled out in front of her from the east
on S 27th St. She did not have enough time to brake and struck the driver side of Unit 1 with the front
of her vehicle. Unit 2 had airbag deployment and needed to be towed.
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 4/16/2026 2102 Hours Renton, King County,
Washington
PAGE 3 OF 4
REPORT NO. EG97680 CASE# ' 26-2978 DATE AND TIME 04/16/26 17:54
OF COLLISION
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