HomeMy WebLinkAbout26-3247 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EG97681 170
27
COLLISION REP FIT 1591971
CASE 26-3247 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4Y00 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#
cowsloN 04 - 1-- 2026 1830 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
S GRADY WAY BLOCK NO. e✓ 800 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ �.❑ FEET e S ❑ VV e WELLS AVE S
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:4256586906 0 11
30
6� LAST NAME HARRIS FIRSTNAME KAYLA MIDDLE D 1 1 2 31
INITIAL
STREET ❑ 334 WELLS AVE S CITY RENTON ST WA ZIP 98057 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I INTERLOCK YES[:]NO NTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 CLASS 1 NATURE OF INJURIES z❑
3
,OF
PI ATE Bit BHH7069 JBTATIJ WA uN# JF2GFADC1JH222194
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. TRLR 7 1 33
12 3 5 VIN#' VIN#'
>; FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T /g[ GOVT.VEHICLE 3 ] 34
13 3 2018 SUBA CROSST SD DAMAGE YES NOBS YES : No✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
3 INSURANCE CO 3 4
14 LIABILITY INSURANCE PROGRESSIVE 916528413
IN EFFECT &POLICY# � 9TOP
VEH" CHARGE 36
LEGALLY YES❑NO❑ CITATION# 10 BOTTOM
15❑ STANDING 8
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UN�T VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YEs NO 1/ D:4253758641
16 a
LAST NAME JORDAN FIRST NAME SHA WO MIDDLE C
INITIAL
17 STREET❑ NEW ADDREss❑' 1300 EAGLE RIDGE DR S APT 3121 CITY RENTON ST WA ZIP 98055 4❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL-T�RANSPORTED � 38
INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YES
t l NO�
19 LDICENSIVER # STATE WA SEX M MMDDYY 05 _ 19 _ 1989 39
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES ❑ 40
LICENSE ❑21❑ PLA E# CBF7491 TArE 41
WA VIN# SALCP2FX2KH827150 1
42
22❑ PLATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
TOWED BY GOV HI 44
VEH YEAR 2019 MAKE LNDR MODEL DISCOVE STYLE $V --rEHICLE
TOWED TOO✓ BLIN YES
NO 1/
24❑ REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE N0.2
SHADE DAGED AREA
4
INAEFFITY ECTNSURANCE❑ &POINSULICY#E CO I 9TOP 5
'E""LE ❑ ,J� CITATION# CHARGE io BOTTOM
LEGALLY YES N J
25 s e
=RSE
PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26 12994 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG97681
COLLISION REPORT III III III III III 111
1591972 CASE# 26-3247
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) DOLMA THUKJI
(I.P.ST FIRST,
ADDRESS&PHONE# D O.B. '
1300 EAGLE RIDGE DR S APT 3121 RENTON WA 98055 SEXi F MMDOYyry 09 - 01 - 1984
PASSENGER L,WITNESS UNIT# 2 PEA $ AIRBAG 2 RESTR. q EJECT ? 1 HELMET INJURY NATURE OF INJURIES
OS. USE 1 2 CLASS 1
NAME
(LAST,FIRST,MIDDLE INITIAL) JORDAN LHAMO T
ADDRESS&PHONE# D O B
1300 EAGLE RIDGE DR S APT 3121 RENTON WA 98055 SEX M MMDD Bv,, 09 _ 09 _ 2024
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER WITNESS UNIT# 2 POS 9 AIRBAG 2 RESTR. 4 EJECT 1 USE 1 2 CLASS 1
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&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 04-26-26 08:12 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
CASEY PROCTER 12123 1 4/26/2026 10:17:14 PM
BADGE OR ID# 12994 ORI# WA0171300 TIME POLICE DISPATCHED 6:30 PM TIME POLICE ARRIVED',6:31 PM
PART I PAGE IT]OF 4]
REPORT NO. EG97681 CASE# 26-3247 OF COLLISION
04/26/26 18:30
OF CbLLI510N
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 4/26/2026, at approximately 1830 hours I was self-dispatched to back Officer Phillips who advised
he heard a collision.
At approximately 1831 hours I arrived on scene. Other officers were already on scene. Unit 1 was
pulled off to the side of Wells Ave S. Unit 2 pulled off to the side in front of 900 S Grady Way. Unit 2
had damage to the rear passenger side and wheel. Unit 1 had damage to front passenger fender. All
parties advised there are no injuries.
I contacted the driver of Unit 1 and she advised the following. She was driving eastbound on S Grady
Way. She got into the left turn lane to turn north onto Wells Ave S. A car driving westbound in lane 2
of 2 on S Grady Way stopped to allow her to turn. She began to turn but her vision was blocked be
the car and she didn't see the Unit 2 driving westbound in lane 1 of 2. The rear passenger side of her
car was struck by the front passenger side of Unit 2. Her airbags did not deploy and her car needed to
be towed.
I contacted the driver of Unit 2 and he advised the following. He was driving westbound in lane 1 of 2
of S Grady Way approaching Wells Ave S. Out of nowhere Unit 1 pulls in front of him. He strikes the
rear passenger side of Unit 1 with the front passenger side of his car. His airbags did not deploy and
his car did not need to be towed. There were 2 passengers in the back seat. One was a 2 year old
child that was unharmed. His wife was back there with the child and was also uninjured. She advised
she did not see what happened.
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 4/26/2026 2005 Hours Renton, King County,
Washington
PAGE 3 OF 4
REPORT NO. EG97681 CASE# ' 26-3247 DATE AND TIME 04/26/26 18:30
OF COLLISION
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