HomeMy WebLinkAbout26-3789 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
CASE 26-3789 z
INTERSTATE ❑ CITY STREET ❑ FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER HIT F ❑ LOCAL AOENC 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 28
TRIBAL UNITS 01 STRUCK' BUILDING
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
GawsloN 05 - 1-- 2026 0027 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
SW SUNSET BLVD BLOCK NO. e✓ 2100
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e Fill
1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/NO D:2063808399 30
6� LAST NAME TODD FIRSTNAME CARLA MIDDLE Y 1 1 2 31
INITIAL
STREET El 2101 SW SUNSET BLVD#H303 CITY RENTON ST WA 2jp, 98057 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs 1/ I NO NTERLOCKYEs NO Z/ YES R No�/
8❑ LICIENSE# STATE Wq SEXI F MMDDYY' 05 - 24 - 1961 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 9 EJECT 1 HELMET
2 CLASS 1 NATURE OF INJURIES z❑
3
10❑ P1 ATNES# AWK9781 sTAr WAv N# 4T18F1FK4EU364293
TRAILER STATE TRAILED STATE
11 0 0 PLATE# PLATE# FRom ro
TRLR. TRLR 9 3 33
2 1 ❑ VIN#' VIN#
Rom 34
13❑ VEH.YEAR 2O14 MAKE TOYT MODEL CAMRY STYLE SD VEHICLE TOWED 0 TOO
ffBLIN TQVWkkRS TOW YOES❑ENO
DAMAGE ILJI tSA1Vi�6
REGISTEREDOWNERINFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14❑ UABILI INSURANCE NSURANCE CO STATE FARM 0781035-D11.47E 4
IN EFFECT &POLICY# TOPVEHICLE CHARGE 36
LEGALLvYFS❑NO CITATION# <1�3
OTTOM
15❑ STAIN,DIING 7 6
UNIT U2 VEHICCMOTOLE ❑ CYCLE ❑ PEDESTRIAN ❑ OWNER YES
❑ DYES NO OLD MET PHONE
16❑
LAST NAME FIRST NAME MIDDLE
INITIAL
STREET
CITY' ST ZIP 4❑ 37
17❑ NEW ADDRESS❑'
18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL-T�RANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK YEs I I NOF YEs t l NO❑
19 LLIICENS # STATE SEX MMDDYY -�_ 39
HELMET INJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG RESTR EJECT USE CLASS ❑
❑21❑ TArE 41
IN#LICENSE V 1
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
VIN#. IN#.
VEH YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN
TOWED BY Gov HI 44
24❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE❑ INSURANCE
#E CO
IN EFFECT &PO IGQVE"LE
❑ ,J� CITATION# CHARGE
LEGALLY YES N`L J
25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
MICHAEL THOMPSON 13311 WA0171300
PART A PAGE 01 OF C7
3000-345-159 fR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EH04370
COLLISION REPORT III III III III III 111
1591972 CASE# 26-3789
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'
26-3789
On 5-17-2026 at 0032 hours I responded to a non-blocking collision with unknown injuries at 2101
SW Sunset Way (Sunset View Apartments, Bldg. #H) in the City of Renton, King County,
Washington.
Upon my arrival I observed Unit 1 located over a parking lot embankment in a vertical position leaning
against an apartment building.
Unit 1 appeared to meet the damage threshold and was pulled back into the parking lot by Gene
Meyers.
After being assisted out of the vehicle by other officers, Driver 1 walked around the collision site and
did not have any complaints of pain.
Driver 1 provided a valid driver's license, had valid registration and valid insurance.
Driver 1 stated that she did not know what happened and must have fallen asleep in the parking spot
and drove forward when she woke up.
Based on my observations at the scene of the collision, and Driver 1's statement, I determined the
proximate cause of this accident to be Driver 1 driving her vehicle forward in the parking spot and
over an embankment.
I provided a Driver 1 with a business card and case number.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically signed by Officer Michael A. Thompson #13311 at 0150 on 5/17/2026 in the City of
Renton, King County, Washington.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
MICHAEL THOMPSON 05-18-26 03:08 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
JAKE GALL 12617 1 512012026 1:54:02 AM
BADGE OR ID# 13311 ORI# i WA0171300 TIME POLICE DISPATCHED! 12:27 AM TIME POLICE ARRIVED 12:32 AM
PART I PAGE IT]OF 3�
REPORT NO. EH04370 CASE# 26-3789 DATE AND TIME 05/17/26 00:27
OF COLLISION
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