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HomeMy WebLinkAbout26-3289 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c COLLISION REP FIT 1591971 CASE 26-3289 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4200 3 HIT 8 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 1317 17 ❑-= S 8 IN e 1070 3 4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ SUNSET BLVD N BLOCK NO. e✓ ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ VV a BRONSON WAYN 2 0 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El NO D:2066177513 0 6 30 6� LAST NAME HARMSTON FIRSTNAME NICHOLAS MIDDLE C 1 1 2 31 INITIAL STREET ❑ 23736 SE 243RD CT CITY MAPLE VALLEY ST WA Zjp, 980385266 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 HELMET 2 CLASS 1 NATURE OF INJURIES z❑ 3 10❑ PI ATE BKS8456 sTATe WAvIN# 1 C4RJFBG9HC885620 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# FROM TO TRLR. A'RLR. 1 5 33 12 3 5 VIN#j VIN# FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO $ 34 13 2 2017 JEEP GRAND YES❑ NO✓ REGISTERED OWNER INFO NICHOLAS HARMSTON 23736 SE 243RD CT MAPLE VALLEY WA 98038 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILITY INSURANCE INSURANCE CO GEICO CA 1418491 4 LI EFFECT I SUR N# TOPVEHICLE CHARGE 36 LEGALLYYES NO CITATION# 6A0281358 INATTENTIVE DRIVING <1�3 orrom 15❑ STANDING 7 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ No DD 2064303463 16 a LAST NAME MAHJUR FIRST NAME HABIBULLAH MIDDLE N INITIAL 17❑ STREET ❑', 13148 SE 274TH CT CITY KENT ST WA ZIP 980308914 37 NEW ADDRESS ❑ 18� CDL ., IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL TRANSPORTED ❑ 38 INTERLOCKYES�NOR INTERLOCK YEs I I NOF YES t l NO❑ 19 DRIVER'S STATE WA SEX M I D.C.B. 01 01 1987 39 LICENSE# MMDDYY HELMET {NJURY 1 NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT '1 USE 2 CLASS ❑ 21❑ LICENSE I CFE2027 TATe WA vIN# 5YFBURHEOEP157882 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE TRLR 23❑ VIN#. IN#. 43 RLR ' VEH YEAR 2014 MAKE TOYT MODEL COROLL STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 L4❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO HABIBULLAH MAHJUR 13148 SE 274TH CT KENT WA 98030 VEHICLE NO.2 SHADE IN DAGED AREA 2 4 LIABILITY INSURANCE I PORGY#E CO PROGRESSIVE 999937202IN 1GQ'E""LE ❑ ,J� CITATION# CHARGE LEGALLY YES N`L J 25 7CA NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 LAN 12007 WA0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG99692 COLLISION REPORT III III III III III 111 1591972 CASE# 26-3289 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME (/AST 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. C.CATALAN 04-29-26 02:54 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE C.JACOBS 1953 5/4/2026 9:27.39 AM BADGE OR ID# 1Y007 ORI# WA0171300 TIME POLICE DISPATCHED' 4:98 Pry TIME POLICE ARRIVED',1:29 Pry PART I PAGE IT]OF 5� REPORT NO. EG99692 CASE# 26-3289 OF COLLISION 04/28/26 13:17 OF CbLLI510N NARRATIVE On April 29, 2026, at approximately 1317 hours, I was dispatched to a non-injury and non-blocking three-vehicle collision at the intersection of Sunset Blvd N and Bronson Way N, within the City Limits of Renton, County of King, State of Washington. Upon arrival, I contacted the involved parties and confirmed no injuries had occurred requiring immediate medical response at the time of report. There, I collected the involved parties driving documents and their independent recollection of events leading up to the collision. The driver of Unit#1, Nicholas C. Harmston, said he was traveling southbound on Sunset Blvd N and approaching Bronson Way N in lane 2 of 3 when the collision occurred. Nicholas said he was in a hurry to pick up his son, but as he approached Unit#3 from behind, he decided to change lanes to avoid getting stuck behind a long line of cars. As he changed lanes to left (lane 3 of 3), he failed to see Unit#2 beside him. Unit#1 collided with Unit#2, which ultimately caused to him strike with Unit #3 from behind. Nicholas said it was his fault for not paying attention and rushing. The driver of Unit#2 and the driver of Unit#3 had similar stories to Nicholas. Both stated they were in their lane, facing southbound, when they were struck by Unit#1. Based on the above statements, 1 determined that the Driver of Unit#1 (Nicholas) is the proximate cause for the collision due to inattention causing a collision. He should have been paying closer attention to the movement of traffic in front of him and around him. No vehicles required a tow, so an exchange of information was provided to all involved parties. I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. C. Catalan 04/29/2026 Renton PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. EG99692 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 26-3289 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 tSJ CYCLE I_) PEDESTRIAN OWNER YES NO D:3036196749 OF 8 29 LAST NAME SHIGAYA FIRST NAME STEVEN MIDDLE' ',, K INITIAL STREET 1 r:i 30 NEW AnDRFSP 5650 24TH AVE NW UNIT 305 CITY SEATTLE ST WA ZIP 981074153 6 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 1 2 31 INTERLOCK YEs No zERLOCK YES[:]NO[:] YEs N DRIVER'S LICENSE STATE I WA SEX M MMDDYYv 07 TV] - 1961 7 ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET 2 INJURY 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 32 LICENSE CPB4554 TAr WA VIN# WVWVA7CD5RW225602 PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 3 5 VEH.YEAR2024 MAKE VOLK MODELGTI STYLE VEHICLE TOWS E T SABLIN TOWED BY anvi vFH1Ci P FROM TO DAMAGE YES NO YES NO 33 REGISTERED OWNER INFO STEVEN SHIGA YA 565024TH AVE NW UNIT 305 SEATTLEWA98107 SHADE IN DAMAGED AREA 9 9 12 z 3 FROM TO LIABILITY INSURANCE INSURANCE CO TRAVELERS INSURANCE 6131790252031 GQ IN EFFECT &POLICY# 1VEHICLE 34 13Lecnuv YES NO❑ CITATION# CHARGE STANDING S} 7 14 ❑ UNIT Tr Vd IRE O CYDCLE 1:1OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN ❑ 35 15 LAST NAME FIRST NAME ': NIbIAL STRE 16 NEW ETET".Fl CITY ST ZIP AnnRCDL 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 ❑ 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 LERICLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LEGALLv 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. C.CATALAN 04-29-26 02:54 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 25 ORID# 12007 O#I',WA0171300 JACOBS 5/4/2026 PAGE F OF 5 3000-345-013(R 11118) REPORT NO. EG99692 CASE# ' 26-3289 DATE AND TIME 04/28/26 13:17 OF COLLISION +�r s x { t a '* 2 t, s �} a r Y� ti . r� } csr; { �t Y' f PAGE 5 OF 5