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
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PAGE 5 OF 5