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HomeMy WebLinkAbout26-2942 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c COLLISION REP FIT 1591971 CASE 26-2942 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4900 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 2 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 1342 17 ❑.= S 8 IN e 1070 3 4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ BENSON DR S BLOCK NO. e✓ 3401 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ✓NO D:7652621629 0 9 30 6 LAST NAME KABURU FIRSTNAME HARUN MIDDLE G 1 1 2 31 INITIAL STREET ❑, 12936 SE 185TH ST CITY RENTON ST WA ZIP 980587921 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO INTERLOCKYEs NO YES R NO 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMETU E ICNLJAUSSY 1 NATURE OF INJURIES z❑ 3 10� P1 aT�S� CUX4193 sTATI WAVIN# 3N10E2P2FL407612 TRAILER STATE TRAILER STATE 11 4 0 PLATE# PLATE# FROM TO TRLR. YRLR. 5 1 33 12 0 0 VIN#' VIN# >; FROM TO ❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T GOVT.VEHICLE 9 9 34 13 2 2015 NISS VERSA DAMAGE vEs ONO f �LAWkkRS vEs❑ No REGISTERED OWNER INFO HARUN KABURU 12936 SE 185TH ST RENTON WA 980587921 D:7652621629 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILI INSURANCE INSURANCE CO NATIONAL GENERAL 2031414877 4 IN EFFECT &POLICY# TOPVEHICLE CHARGE 36 LEGALLYYES❑NO❑ CITATION# 6A0254800 FOLLOW VEHICLE TOO CLOSELY <1�3 orrow 15❑ STANDING 7 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE ❑ CYCLE i ❑ ❑ OWNER ❑ YES 1/ No D:9152414353 16 a LAST NAME BASTIDAS MARTINEZ FIRST NAME ANTHONY MIDDLE I J INITIAL 17❑ STREET ❑', 5277 45TH AVE SW CITY SEATTLE ST WA ZIP 981361105 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL t-T�RANSPORTED 38 INTERLOCKYES�NOR INTERLOCK YYEEsI I I No� YES t l NO❑ 19 D IVEW # STATE WA SEX M M.C.B. O6 _ 13 _ 1995 0 39 20 ON DUTY STATUS AIRBAG 3 RESTR 4 EJECT 1 HELMET INJURY 7 NATURE OF INJURIEs 40 USE CLASS FINGER 21❑ LICENSE CUR5074 TATE WA VIN1i 2T1BU4EE9BC701329 ❑ 41 PLATE# 42 22❑ PILER LATE# STATE PLATE# STATE 23❑ UIN#. 43 TRLR RLR 'IN#. VEH YEAR 2011 MAKE TOYT MODEL COROLL STYLE VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44 24❑ 981361105 DAMAGE YES NO BANKERS YES NO REGISTERED OWNER INFO ANTHONY BASTIDAS MARTINEZ 527745TH AVE SW SEATTLE WA 9 8 13 6 110 5 D:9152414353 VEHICLE NO.2 SHADE IN DAGELLAREA z Cdd LIABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# 1GD EHIGLEYES NuCITATION# 6A0254801 CHARGE OP MOT VEH W/OUT INSURANCE LEGALLY 25 s � e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 M.LEVERTON 2517 WA0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG99594 COLLISION REPORT III III III III III 111 1591972 CASE# 26-2942 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. M.LEVERTON 04-15-26 02:49 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY E DAT C.JACOBS 1953 4/23/2026 1:50:13 PM BADGE OR ID# 2517 OR]#' WA0171300 TIME POLICE DISPATCHED! 1:43 PM TIME POLICE ARRIVED',1:47 PM PART I PAGE IT]OF 5� REPORT NO. EG99594 CASE# 26-2942 OF COLLISION 04/15/26 13:42 OF CbLLI510N NARRATIVE gry/2 It 3401 wht rear 2 2 pushed across wht/3 t bone 2 CC Within the city limits of Renton/King/Wa I responded to an unknown if injury crash/blocking crash at the 3401 block of Benson Dr S. When I arrived and located a sedan in the driveway of 3401, a white van on the sidewalk facing southbound and a small white car blocking all of lane 2 northbound and a portion of lane 1. I contacted the driver of unit 2 who told me he was preparing to make a left turn into the driveway of 3401 for a delivery when he was hit from behind by unit 1. The impact from unit 1 shoved unit 2 across the southbound lanes at the same time unit 3 was passing by. Unit 3 was unable to avoid unit 2 and they contacted in lane 1 southbound. Unit 2 was bleeding from his finger. I requested Renton Fire respond to care for his injury. His vehicle was towed for damages. Unit 2 was unable to provide valid proof of insurance, even though he was driving as an Amazon delivery driver. I cited unit 2 via complaint Ref RCW 46.30.020, fail to provide valid proof of insurance. I contacted the driver of unit 3 who told me he was southbound and when unit 2 was hit from unit 1 it pushed unit 1 across his lane where he had no chance to avoid confact. He did not complain of injury and damages did require a tow truck. I contacted the driver of unit 1 ID'd by his picture WADL. He told me that unit 2 stopped suddenly and he couldn't not avoid contact with him. He told me he skidded and crashed into the back of unit 2. He did not complain of injury and damages did require a tow truck. I cited unit 1 Ref RCW 46.61.145 Following Too Close 3 car injury crash via complaint. I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. M.Leverton/2517 City of Renton/King/Wa 4/15/2026 PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. EG995594 r`I POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 26-2942 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USL70r !CC# VEHICLE TYPE CARGO BODY TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER ADDRESS ` CITY ST' ZIP' 4 ❑ NAME # PLACARD: :❑ GWVR NAME IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE tSJ CYCLE I_) PEDESTRIAN OWNER YEs NO D:5107786024 OF 1 29 LAST NAME RAINGARD FIRST NAME STEPHANE MIDDLE ',, G INITIAL STREET 30 NFW AnDRFrtP 2207 E TERRACE ST APT A CITY SEATTLE ST WA ZIP 981226056 6 CDL IGNITIttN REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 1 2 31 INTERLOCK YEs No NTERLOCK YEs[:]NO[:] YEs N DRIVER'S LICENSE STATE I WA SEX M MMDDYYv 10 - 23 - 1967 7 ON DUTY� STATUS AIRBAG' $ RESTR. Q EJECT 1 HELMET I INJURY 1 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 32 LICENSE BQG5691 TAr Wq VIN# 1GNDM19X55B126613 PLATE# 9 9] TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 4 0 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWS E T SABLI anvi vEH1Ci P FROM TO 2005 CHEV ASTRO THE DAMAGE YES�NO YES NO REGISTERED OWNER INFO STEPHANE RAINGARD 2207 E TERRACE ST APT A SEATTLE WA 981226056 D:5107786024 1 5 33 12 � SHADE IN DAMAGED AREA j 4 FROM TO LIABILITY INSURANCE INSURANCE CO PROGESSIVE 989 q"i"Olx IN EFFECT &POLICY# VEHICLE 10 6QTTUM 34 13 ❑ LEGALLY YES❑ NO❑ CITATION# CHARGE STANDING } MOTOR l:9 7 6 14 ❑ UNIT Tr Vd IRE O CYCLE � OWNERRTY YESAGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15 LAST NAME FIRST NAME INITIAL 36 MIDDLE ❑ STREET"[-] 16 NFW nnR CITY ST ZIP CDL IGNITION REdUiRED IGNITION PRESENT MEDICALTANSPORTED NTERLOCK 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 ICLASS 19 ❑ 39 LICENSE rnr VIN# PLATE# 20 ❑ TRAILER TRAILER El40 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 ' VINE EFFECT &POLICY# i 970P - 4 E:l 44 24 VEHICLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LECALLv 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. X LEVERTON 04-15-26 02:49 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 OI BADGE 2517 O#I',WA0171300 JACOBS 412312026 PAGE F41 OF F 3000-345-013(R 11118) REPORT NO. EG99594 CASE# ' 26-2942 DATE AND TIME 04/15/26 13:42 OF COLLISION a t t q �\ SF �Y Qr t t y s f 3 PAGE 5 OF 5