HomeMy WebLinkAbout26-3535 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 26-3535 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4900 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#
cowsloN 05 - 1-- 2026 1326 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
EDMONDS AVE NE
BLOCK NO. e✓ --- ----� ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ w e NE 16TH ST
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:2069547133 0 11
30
6� LAST NAME LAWTON FIRSTNAME BERNICE MIDDLE M 1 1 2 31
INITIAL
STREET ❑ 2230 NE 18TH ST CITY RENTON ST WA 2jp, 980562747 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO INTERLOCKYEs NO YES 1/ NO
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT 1 HELMET I INJURY 6 NATURE OF INJURIES z❑
USE CLASS SHIN PAIN/SWELLING,L ARM PAIN
3
10 9❑ PI AT 14 AKH2203 STATE WA VIN#' 2D4GP44L56R627770
TRAILER STATE TRAILER STATE
11 3 0 PLATE# PLATE# IR.. ro
TRLR. TRLR 1 3 33
12 3 0 VIN#' VIN#
FROM TO
VEH.YEAR 2006 MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 5 1 34
13 4 DODG GRAND DAMAGE YES NO YES[:] ✓
REGISTERED OWNER INFO JIM LAWTON 10804 FARWEST DR SW LAKEWOOD WA 98498 VEHICLE NO. 1
❑ ❑
SHADE IN DAMAGED AREA 35
14 LIABILI INSURANCE INSURANCE CO EAGLE WEST INS.CO.25-PAC-2-1878973 3 4
IN EFFECT &POLICY# 9TOP
VEHICLE CHARGE 5 36
LEGALLv YES No CITATION# 6A0254431 FAIL YIELD LEFT TURN MOTOR o Borrom
15❑ STANDING 8 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT U2 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:4252412216
16 a
LAST NAME CHEUNG FIRST NAME ALEX MIDDLE K
INITIAL
17❑ STREET ❑', 2522 NE 24TH PL CITY RENTON ST WA ZIP 980562335 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL TRANSPORTED ❑ 38
INTERLOCK YEs❑NOR INTERLOCK YEs I I NOF YEs t l No❑
19 LICENSE# STATE WA SEX M M .C... 11 11 1971 El 39
WELMET INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG 9 RESTR 4 EJECT 1 USE CLASS ❑
21❑ LICENSE ANU6740 TATe WA VIN# JT3HN86R4V0060268
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 1997 MAKE TOy7- MODEL 4RUNNER STYLE VEHICLE TOWED TO("TOWED BY GOV HI �44
24❑ DAMAGE YES�/ NO BANKERS YES NO
REGISTERED OWNER INFO WEI CHEN 2522 NE 24TH PL RENTON WA 98056 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSU&PORGY#E CO AMERICAN FAMILY INSURANCE A104157774 1UQ,
IN EFFECTVE""LE ❑ ,J� CITATION# CHARGELEGALLYYES N`L J25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
C.ARNOLD 12509 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EHO5308
COLLISION REPORT III III III III III 111
1591972 CASE# 26-3535
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME(LAST FIRST,MIDDLE INITIAL) HU PUI
ADDRESS&PHONE# D O.B.
2522 NE 24TH PL RENTON WA 980562335 SEX F MMDDYyry 12 - 12 - 1940
PASSENGER Z WITNESS UNIT# 2 POS 3 AIRBAG 9 RESTR. 4 EJECT ? 1 HELMET NATURE OF INJURIES
USE CLASS
'1
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# D O E4
SEX' MMDDWYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&PHONE#
SEX D.Q.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.ARNOLD 05-07-26 02:17 PM
INVESTIGATING QFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1 5/22/2026 11:02:33 PM
BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 1:28 Pry] TIME POLICE ARRIVED',1:34 PM
PART I PAGE IT]OF 4�
REPORT NO. EH05308 CASE# 26-3535 OF COLLISION
05/07/26 13:26
OF CbLLI510N
NARRATIVE
CC 26-3535
On 5/7/2026 at 1334 hours I was dispatched to a motor vehicle collision at NE 16th St and Edmonds
Ave NE in the City of Renton, King County, Washington.
Pre-Collision
Driver 2 stated that he was traveling North on Edmonds Ave NE approaching NE 16th St.
Driver 1 stated that she had just turned right to proceed South on Edmonds Ave NE from NE 16th St.
Driver 1 stated that she was stopped and preparing to turn left to proceed East on NE 16th St from
Edmonds Ave NE.
Collision
Driver 2 stated that as he entered the intersection, Unit 1 turned in front of him and he swerved right
slightly to avoid a collision. Driver 2 stated that the front drivers side bumper of Unit 2 collided with the
front bumper of Unit 2.
Driver 1 stated that she began her turn in front of Unit 2. Driver 1 was unable to clear the intersection
in time and the front bumper of Unit 1 collided with the front drivers side bumper of Unit 2.
Injuries
Driver 1 complained of shin pain (both legs), and right arm pain.
Vehicle Disposition
Unit 2 was towed from the scene. Unit 1 was parked nearby in a private lot.
Proximate Cause
I determined that Driver 1 is the proximate cause of this collision because the driver of a vehicle
intending to turn to the left within an intersection or into an alley, private road, or driveway shall yield
the right-of-way to any vehicle approaching from the opposite direction which is within the intersection
or so close thereto as to constitute an immediate hazard.
Had Driver 1 yielded the right of way to Unit 2, this collision would not have happened.
Driver 1 was cited reference RCW 46.61.185.
1 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 C. Arnold #12509 at 14:12 on 5/7/2026 in the City of Renton, King
County, Washington.
PAGE 3 OF 4
REPORT NO. EH05308 CASE# ' 26-3535 DATE AND TIME 05/07/26 13:26
OF COLLISION
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PAGE 4 OF 4