HomeMy WebLinkAbout26-3565 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 6 27c
COLLISION REP FIT 1591971
CASE 26-3565 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AGENCI 4250 3
HIT 8 RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 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#
GawsloN 05 - OS - 2026 1552 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
SW GRADY WAY BLOCK NO. e✓ ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ �.❑ FEET e S ❑ W e OAKESDALE AVE SW
0 1 29
UNIT MOTOR
Z PEDAL-
CYCLE ❑ YESA,GEE NHORESHOLD MET PHONE 0 4 30
6� LAST NAME UNKNOWN FIRSTNAME MIDDLE 1 2 31
INITIAL
STREET ❑ CITY ST ZIP 2
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNIT{ON PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCK YES NO YES No
8❑ LICIENSE#
STA fE I
SEX u MMDOBYY '❑- 1 1 2 32
9 ON DUTY❑ STATUS I
AIRBAG 9 RESTR 9 EJECT 1 H U EEr 9 CLAY 0 NATURE OF INJURIES zLICENSE I
❑
3
10[1 PI P1 ATE 14 LAST 3#541 sTAT V N#
11[-j- TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. TRLR 7 3 33
12 3 5 VIN If VIN#
FROM TO
❑ VEH.YEAR MAKE KIA MODEL SOUL STYLE VEHICLE TOWED fn TO VBLINJ TOWED BY GOVT.VEHICLE 1 3 34
13 2 DAMAGE YES NO YES❑ NO
REGISTERED OWNER INFO [NEW] VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 ABILI INSURANCE❑ INSURANCE CO 3 4
IN EFFECT &POLICV# 9TOP
vEHICLE CHARGE 5 36
LEGALLY YES❑NO❑ CITATION# 1 o BOTTOM
15❑ STANDING 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
�NiT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:4255669066
16 a
LAST NAME LEUELU FIRST NAME JUNIOR MIDDLE I F
INITIAL
17 STREET❑ NEW ADDRESS❑' 5114 S CRESTON ST CITY SEATTLE ST WA ZIP 981782110 37
18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL t-T�RANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK YEs I I No� YES t l NO❑
19 DRIVER'S STATE WA SEX M I D.C.B. 07 30 _ 1993 39
LICENSE# MMDDYY
HELMET I {NJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 USE CLASS 1 ❑
LICENSE I ❑21❑ PLA E# CJR3932 TATE 41
WA VIN# 4S3BWAC62L3032948 4
42
22 [TRAILER TILER
❑ PLATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
UIN#. 'IN#.
VEH YEAR 2020 MAKE SUBA MODEL LEGACY STYLE VEHICLE TOWED TO BLIN TOWEDBY GOV!TN
44
24❑ DAMAGE YES NO BANKER YES NO
REGISTERED OWNER INFO JUNIOR LEUELU 5114 S CRESTON ST SEATTLE WA 981782110 D:4255669066 VEHICLE NO.2
SHADE DAGELLAREA
LIABILITY
INSURANCE I POLICY#E CO SAFECO H2603975IN IGQVE""LE
❑ ,J� CITATION# CHARGE
LEGALLY YES N`L J
25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
M.LEVERTON 2517 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EH03719
COLLISION REPORT III III III III III 111
1591972 CASE# 26-3565
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
POS. 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 05-11-26 01:48 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
C.JACOBS 1953 511812026 7:57:10 AM
BADGE OR ID# 2517 OR]# WA0171300 TIME POLICE DISPATCHED; 3:52 PM TIME POLICE ARRIVED 3:58 PM
PART I PAGE IT]OF 5�
REPORT NO. EH03719 CASE# 26-3565 OF COLLISION
05/08/26 15:52
OF CbLLI510N
NARRATIVE
grn 1 h/r wb lane 2 wht/2 It broad pass door spun out backwards hits 3 blk
RTF
Within the city limits of Renton/King/Wa I responded to a 3 vehicle blocking crash at the intersectio of
SW Grady Way at Oakesdale Ave SW.
I contacted the driver of unit 2 who told me on his green light he was making a left turn from
Oakesdale Ave SW from the north to the east when he was hit in the paassegner side by a green Kia.
The driver of unitl/green Kia fled the area without providing the information required by RCW. Unit 2
explained that after impact from unit 1 his vehicle spun around and backed into unit 3 who was
stopped in lane 1 northbound Oakesdale. He did not complain of injury and damages did require a
tow truck.
I contacted the driver of unit 3 who told me that he was stopped in lane 1 northbound Oakesdale Ave
SW when unit 1 hit unit 2 spinning unit 2 out and causing him to make contact with his vehilce. He did
not provide any additional information. He did not complain of injury and damages did not require a
tow truck.
There were no other witnesses to provide additional information for unit 1/hit and run suspect vehicle.
Information/insurance only
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 5/11/2026
PAGE 3 OF 5
SUPPLEMENTAL REPORT NO. EH0371 9
r`) POLICE TRAFFIC 1 1 8 27
COLLISION REPORT CASE# 26-3565
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: :❑
GI PLACARD 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:2067975888
OF 8 29
LAST NAME CASTRO MARQUEZ FIRST NAME : DANIEL MIDDLE A
INITIAL
STREET 30
NEW AnDRFrtP 17806 32ND AVE S APT 56 CITY SEA TAC ST WA ZIP 981884250
6
CDL IGNITION 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 01 - 14 - 1991
7
ON DUTY� STATUS AIRBAG' 2 RESTR. 4 EJECT 1 HELMET I INJURY 1 1 NATURE OF INJURIES
USE CLASS
8 ❑ 1 32
LICENSE CNL6845 TAr WA VIN# JTDKN3DU8B1391338
PLATE#
9 2] TRAILER TRAILER
PLATE# STATE PLATE# STATE
10 ❑ TRLR TRLR
VIN.#. VIN.#.
11 0 0 VEH.YEAR2011 MAKE TOYT I MODELPRIUS STYLE VEHICLE TOVVE E T SABLIN TOWED BY anvi vFH1G P FROM TO
DAMAGE YES 'E YES NO
REGISTERED OWNER INFOJESUSMEDINA SANDOVAL 227SW110THST SEATTLE WA 98146 J 9 33
SHADE IN DAMAGED AREA
12 7 j FROM TO
INSURANCE CO
LIABILITY INSURANCE SAME. 1 1"01 0 34
IN EFFECT &POLICY#
13 ❑ LEGALLY
LE ❑ CITATION# CHARGE 0 BOTTOM
LEcnuv YES NO
STANDING �} 8 7 6
14 ❑ UNIT Tr Vd IRE O CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35
PEDESTRIAN
15 LAST NAME FIRST NAME MIDDLE INITIAL
TIAL
❑
ET
16 STRETRE "F1' CITY ST ZIP
NEW CDL IGNITION REdUiRED IGNITtGN PRESENT MEDICALTANSPORTED
NTERLOCK YES No NTERLOCK YEs NO YEs NO El
17 37
LICENSE# STATE SEX MMDDDYBYY -� II
18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of 1NJURIEs 38
USE (CLASS
19 ❑ 39
LICENSE rnr VIN#
PLATE#
20 ❑ TRAILER' STATE TRAILER STATE ❑ 40
PLATE#< PLATE#
21 ❑ TRLR TRLR 41
VIN# YIN#i
42
22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TOWED 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 LEwcLE 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.
X LEVERTON 05-11-26 01:48 PM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
APPROVED BY DATE
26 OR ID 2517 O#I',WA0171300 JACOBS 5/18/2026 PAGE�OF F
3000-345-013(R 11118)
REPORT NO. EH03719 CASE# ' 26-3565 DATE AND TIME 05/08/26 15:52
OF COLLISION
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PAGE 5 OF 5