HomeMy WebLinkAbout26-2611 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c
COLLISION REP FIT 1591971
CASE 26-2611 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' 04 - 1-- 2026 1439 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
BLOCK NO.
NE SUNSET BLVD e✓ --- ----�
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 50 00 FMILES EET e S ❑ E e "MNGTON AVE NE
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
NO F,/ I D:2065566295 0 81
30
6 LAST NAME MORA MAYORQUIN FIRST NAME ISRAEL MIDDLE N 1 1 2 31
INITIAL
STREET ❑ 827 W VALLEY HWY TRLR 70 CITY KENT ST WA ZIP 980322953 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES NO 1/ I INTERLOCK YES NOF,/ YES R NO
8❑ DRIVERS
CENSE STATE WA SEX'M I ELMIDIAY' 02 — 09 — 2007 1 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 9 EJECT 1 H USE 2 CLASS 1 NATURE OF INJURIES z❑
3
LICENSE CUR6953 sTArI WAvIN# 5NPEC4AC66H154408
10[9 PI ATE i4
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM To
TRLR. TRLR 7 3 33
12 3 5 VIN#' VIN#
FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE J 9 34
13 4 2011 HYUN SENOTA SD DAMAGE YES NO YES❑ ✓NO
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
❑
SHADE IN DAMAGED AREA 35
14 ❑ INSURANCE CO <53 4LIABILITY INSURANCEIN EFFECT &POLICV# TOPVEwcLE CHARGE OTTOM 5 36
LEGALLY Yes❑NO❑ CITATION# 5
15❑ STANDING 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES NO ,/ D:2068169397
16 a
LAST NAME MARTIN FIRST NAME LANETTE MIDDLE M
INITIAL
17 STREET❑ NEW ADDRESS❑' 2020 GRANT AVE S APT C204 CITY RENTON ST WA ZIP 98055 4❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL—T�RANSPORTED � 38
INTERLOCK YEs❑NO INTERLOCK YEs It I NOF YES
t l NOF,/
19[ DRIVER # STATE WA SEX F M D.C.B. 10 _ 24 1965 39
20❑ ON DUTY STATUS AIRBAG 2 RESTR 9 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40
❑LICENSE I 21❑ PLA E# CGT4944 TArE 41
WA VIN# JN86T36B4PW203579 1
42
22❑ PLATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
TOWED BY Gov HI 44
VEH YEAR 2023 MAKE NISS MODEL ROGUE STYLE SD DAMAGE TOWED TOO✓
24❑ fj
YES BLIN YE NO
REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE IN DAMAGEbAREA
2 3 Cd
LIABILITY
INSURANCE INSU PORGY#E CO FARMERS 188638380IN 1 9TOP
'E""LE CITATION# CHARGE
LEG
25 i o BOTTOM
ALLY YES NEI
❑ s
=OLLEIVBERG
(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26 13031 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EH02586
COLLISION REPORT III III III III III 111
1591972 CASE# 26-2611
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.
MATTHEW MOLLENBERG 04-14-26 08:13 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.TRADER 4553 5/13/2026 3:00:03 PM
BADGE OR ID# 13031 OR]#' WA0171300 TIME POLICE DISPATCHED! 3:24 PM TIME POLICE ARRIVED',3:24 PM
PART I PAGE IT]OF 4�
REPORT NO. EH02586 CASE# 26-2611 OF COLLISION
04/04/26 14:39
OF CbLLI510N
NARRATIVE
Renton Case #26-2611
Unless otherwise noted, the following occurred in the City of Renton, County of King, WA.
On 04-04-2026 at approximately 1524 hours I was dispatched to a non-injury/blocking collision
located near Sunset Blvd NE/Harrington Ave NE. Dispatch advised the reporting party was involved
in a two vehicle non injury collision.
I arrived on scene and observed two vehicles appeared disabled in the roadway with minimal
damage, both occupants were out of their vehicles and on the sidewalk.
I spoke with the driver of unit 1 (WA/CUR6953) who identified himself by WA DOL as Israel Mora-
Mayorquin (DOB 02-09-2007) who advised me of the following:
He was driving northbound in lane 1 of Sunset Blvd NE approaching the intersection Harrington Ave
NE. All vehicles were stopped at the light, so he stopped. He believed that he vehicles ahead of him
had begun moving because the light was green, so he accelerated, he then struck the rear of unit 2.
Israel produced a Washington State Identification Card (He is listed as not licensed-eligible, advised
his brother has insurance on the vehicle but could not produce it, and the vehicle is registered to him.
I spoke with the driver of unit 2 (WA/CGT4944) who identified herself by WA DOL as Lanette M.
Martin (DOB 10-24-1965) who advised me of the following:
She was stationary in lane 1 of Sunset Blvd NE at the red light approaching the intersection of
Harrington Ave NE. The vehicle in front of her started to drive forward as the light turned green.
Before she could proceed forward, she was struck from behind by the driver of unit 1.
Based on the information gathered from involved parties and observations of the collision, the
proximate cause of the collision was the driver of unit 1 colliding with unit 2 by accelerating forward
before unit 2 began driving.
I provided both drivers with an exchange of information. Israel was advised he should not be driving,
and his brother came to the location to drive the vehicle.
This concludes my involvement with case #26-2611.
I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct. Electronically signed by M. Mollenberg 13031 on 04-13-2026 at 1830 hours in Renton,
WA.
PAGE 3 OF 4
REPORT NO. EH02586 CASE# ' 26-2611 DATE AND TIME 04/04/26 14:39
OF COLLISION
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