HomeMy WebLinkAbout26-3784 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 26-3784 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I 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#
COLLISION'. 05 - 1-- 2026 1046 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
S 18TH ST BLOCK NO. e✓ 1800 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ VV e GRANT AVE S
0 3 29
MOTOR PEDAL- DAM THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El YES NO �/ D:2062279467 0 3 30
6❑ LAST NAME YONZON FIRSTNAME JERREL MIDDLE F 1 1 2 31
INITIAL
STREET ❑ 2626 LAKE YOUNGS CT SE CITY RENTON ST WA ZIP 98058 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs NO YES R NO
8❑ LDRIVER # STATE WA SEX'M MID
LOB 05 1- 07 - 1990 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 9 EJECT 1 H U SE
ICNLJAUSSY 1 NATURE OF INJURIES z❑
3
LICENSE CVA7763 sTArI WAVIN# JTEBU5JR8K5678083
10 PI ATE i4
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FR.. ro
TRLR. TRLR 7 5 33
12 0 0 VIN#' VIN#'
FROM TO
VEH.YEAR 20,19 MAKE TOYT MODEL 4RUNNE STYLE UT VEHICLE TOWED fn TO VBLINJ TOWED BY I GOVT.VEHICLE 7 5 34
DAMAGE YES NO YES[:] ✓NO
13❑ REGISTERED OWNER INFO JERREL YONZON 2626 LAKE YOUNGS CT SE RENTON WA 98058 D:2062279467 VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
2 3
LIABILITY INSURANCE INSURANCE CO
14 UNKNOWN UNKNOWN
IN EFFECT &POLICY# � 9TOP
VEI-1 CHARGE 10 BOTTOM 36
LEGALLY YES❑NO CITATION# 6AO119773,6AO119773 FOLLOWING TOO CLOSE TO FIRE
15❑ NDING 8 7
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2064326618
16 a
LAST NAME TESFAY FIRST NAME FANA MIDDLE H
INITIAL
17❑ STREET ❑', 23503 47TH PL W CITY' MOUNTLAKE TERRACE ST' WA ZIP 980434936 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL TRANSPORTED ❑ 38
INTERLOCK YEs❑NOR INTERLOCK YEs It I NOF YES
t t- l NO❑
19 DRIVER'S STATE WA ]SEX IF D.C.B. 04 16 _ 1997 0 39
LICENSE# MMDDYY
WELMET INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 1 RESTR 9 EJECT 1 USE CLASS ❑
21❑ LICENSE I CSZ5855 TAre WA VIN# 58ADA1C19SU070766
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ UIN#. IN#.
43
RLR
'
Gov HI
VEH D
YEAR 2025 MAKE LEXS MODEL ES STYLE AMAGE TOWED NOO✓ BLIN TOWED BY 44
fj
YES NO
24❑ REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE N0.2
SHADE IN DAMAGEbAREA
2 3 Cd
LIABILITY
INSURANCE I PORGY#E CO ALLSTATE 954131876IN 1 9TOP
VEHICLE YES[:] N C[:] CITATION# CHARGE i o BOTTOM
LEGALLY
25 $
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
SULIASI TAMAIVENA 12788 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EH03455
COLLISION REPORT III III III III III 111
1591972 CASE# 26-3784
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) BURRELL AZURE N
(I.P.ST FIRST,
ADDRESS&PHONE# D O.B.
1805 GRANT AVE S#APT 1 RENTON WA 98055 2069608413 SEXi F MMDOYyry 10 - 10 - 1989
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑ ❑✓ ; POS. USE CLASS
NAME
(LAST,FIRST,MIDDLE INITIAL) THIELE PAIGE E
ADDRESS&PHONE# DOB
20712 SE 400TH ST ENUMCLAW WA 98022 2069140258 SEX: F MMDDYvvv O6 _ O6 _ 1996
PASSENGER UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
[:]WITNESS POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS R PHONE#
SEX D.O.B.MMDD -❑
YYYY.
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.
SULIASI TAMAIVENA 05-16-26 01:38 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
D.SKELTON 9139 1 5/16/2026 4:30:53 PM
BADGE OR ID# 1Y788 OR]# ! WA0171300 TIME POLICE DISPATCHED 10:46 AM TIME POLICE ARRIVED',10:56 AM
PART I PAGE IT]OF 4�
REPORT NO. EH03455 CASE# 26-3784 OF COLLISION
05/16/26 10:46
OF CbLLI510N
NARRATIVE
On 05/16/2026, at approximately 1046 hours, I was dispatched to an accident at S 18th ST and Grant
Ave S in the City of Renton, while I was employed as a uniformed Patrol Officer for the City of
Renton, County of King, State of Washington.
It should be noted that Unit#1 did leave the scene and returned with a different car. He advised that if
I could use the vehicle he brought instead of the 4Runner. I said no, and he gave me the license plate
number for the 4Runner. He advised that it was his girlfriend's vehicle and that he was scared he
would be in trouble with her. However, he did return to the scene and provided all his paperwork and
statement.
I spoke with Unit#1, who advised that he was behind Unit#2 on S 18th St, also waiting to turn right
onto Grant Ave S. He advised that he was following her very closely and was not aware that she
stopped her vehicle before colliding with Unit#2. He advised that he was at fault and takes
accountability.
Unit#1's vehicle was still drivable and had damage to the front of the plate. The driver claimed no
injuries. He advised that he had insurance, but did not provide any.
Unit#2 advised she was at the stop sign on S 18th ST, attempting to take a right turn onto Grant Ave
S. She advised that as she was proceeding to enter the street, she noticed witness #2 walking across
from Grant Ave S eastbound to westbound. She stopped to allow witness #2 to cross and was
immediately hit from the back by Unit#1.
Unit#2 claimed no injuries, and her vehicle was still drivable. The vehicle had damage to the rear
bumper and trunk.
Both drivers were provided with an informational exchange form.
I spoke with witness #1, who advised that she had heard the sound of an accident and came to her
window to check the noise. She observed the collision and witnessed Unit#1 drive away from the
scene and return with a different SUV. She did not see the initial accident.
I spoke with Witness #2, and she advised that she was walking across Grant Ave S towards Unit#2.
While crossing, she saw that Unit#2 stopped for her to cross, but Unit#1 continued driving and
collided with Unit#1 hitting her from the back.
Based on this information, the proximate cause of this accident was Unit#1 driving too close to Unit
#2, not giving Unit#2 enough space when needed to brake for a pedestrian.
Unit#1 will receive a traffic ticket for following too closely and for failing to provide proof of insurance
when asked.
This concludes my report.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct. This report was electronically signed by Officer S. Tamaivena #12788,
05/16/2026, at 1330 hours, Renton, WA.
PAGE 3 OF 4
REPORT NO. EH03455 CASE# ' 26-3784 DATE AND TIME 05/16/26 10:46
OF COLLISION
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