HomeMy WebLinkAbout26-3516 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 26-3516 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 3 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 0831 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
MAPLE VALLEY HWY
BLOCK NO. e✓ --- ----� ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e 145THAVESE
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:2063493615 0 9 30
6� LAST NAME MARCKX FIRSTNAME SARA MIDDLE E 1 1 2 31
INITIAL
STREET ❑ 12015 SE 164TH ST CITY RENTON ST WA Zjp, 980585356 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO INTERLOCKYEs NO YES R NO
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET
2 CLASS 1 NATURE OF INJURIES z❑
3
LICENSE CCM3639 sTArI WAurN# JTDKB20U387706013
10 F91 PI ATE#
TRAILER STATE TRAILER STATE
11 5 0 PLATE# PLATE# FROM TO
TRLR. TRLR 7 3 33
12 0 0 VIN#' VIN#
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T GOVT.VEHICLE 9 9 34
13 2008 TOYT PRIUS DAMAGE vE6 0NO f �AWkkRS TOWING YES[:] No
REGISTERED OWNER INFOSARA MARC.RUSSELL 12015 SE 164TH ST RENTON WA 98058 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
3 4
14 LIABILI INSURANCE INSURANCE CO FARMERS INSURANCE 189269592
IN EFFECT &POLICY# 9TOP
15❑ LE
vECALLv HICLE 5 36
Yes❑NO❑ CITATION# CHARGE 10 BOTTOM
STANDING 8 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ : OWNER ❑ YES 1/ NO D:2063550513
16 2
LAST NAME CONNER FIRST NAME BRYAN MIDDLE R
INITIAL
17❑ STREET ❑', 24525 256TH AVE SE CITY RAVENSDALE ST WA ZIP 980518819 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL TRANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK YEs It I NOF YES t t— l NO❑
19[—] LDI IVEW # STATE WA SEX M M D.C.B. 01 30 _ 1959 0 39
HELMET {NJURY 1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS ❑
21❑ LICENSE BSA5791 TAre WA VIN# NMOLS7DNXCT103917.
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2012 MAKE FORD MODEL TRANSIT STYLE VN VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO ENTERPRISE FMTRUST 182834TH ST SE PUYALLUP WA 98372 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
INAEFFITY ECTNSURANCE❑ &POINSULICY#E CO I GD
VE""LE CITATION# CHARGELEG25
ALLY YES Nu
❑ s � a
7CA
NAME(PRINT) OFFICER PHONE BADGE OR ID# 777T�NCY26LAN 12007 0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EHO5313
COLLISION REPORT III III III III III 111
1591972 CASE# 26-3516
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) LESLIE ANTON L
(IAST FIRST,
ADDRESS&PHONE#
12015 SE 164TH ST RENTON WA 98058 SEX M MMDOYyry 03 - 12 - 2017
PASSENGER WITNESS ;UNIT# 1 POS 'I y AIRBAG'2 RESTR. 4 EJECT ? 1 H USE 2 `CLASS 1 NATURE OF INJURIES
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# DOB
SEX' MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT I AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIRST 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.
C.CATALAN 05-18-26 03:42 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1 5/22/2026 11:22:00 PM
BADGE OR ID# 1Y007 ORI# WA0171300 TIME POLICE DISPATCHED 8:32 AM TIME POLICE ARRIVED',8:43 AM
PART I PAGE IT]OF 4�
REPORT NO. EH05313 CASE# 26-3516 OF COLLISION
05/06/26 08:31
OF CbLLI510N
NARRATIVE
On 05/06/2026 at approximately 0831 hours, I was dispatched to a non-injury and non-blocking two-
vehicle collision at the intersection of Maple Valley Hwy and 145th Ave SE, within the City Limits of
Renton, County of King, State of Washington.
There, I collected the involved parties driving documents and their independent recollection of events
leading up to the collision.
The driver of Unit#1, identified as Sara Marckx, said she and her passenger were traveling
eastbound on Maple Valley Hwy and approaching the intersection of 145th Ave SE. Sara stated that
traffic was stopped, but when she attempted to slow her vehicle down, she was unable to and
subsequently collided with the rear of Unit#2 causing significant damage to the front of Unit#1.
The driver of Unit#2, identified as Bryan Conner, said he was also traveling eastbound on Maple
Valley Hwy, but had come to a complete stop as traffic was waiting for a green traffic light at 149th
Ave SE. He came to a stop at the intersection of 145th Ave SE. Bryan was in lane 2 of 2 when Unit#1
collided with the rear of Unit#2 causing moderate damage to the rear of Unit#2.
Based on the above statements, I determined that the Driver of Unit#1 (Sara) is the proximate cause
for the collision due to inattention causing a collision. She should have been paying closer attention to
the movement of traffic in front of her, so she could stop in timely manner.
I issued Sara a warning for Inattention.
*its important to note that a 3rd vehicle was involved in the collision. They left the location without
exchanging information. Unit#3 was in front of Unit#2.
An exchange of information was provided to all involved parties.
I certify (or 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. Catalan 05/18/2026 Renton, King County, WA.
PAGE 3 OF 4
REPORT NO. EH05313 CASE# 26-3516 DATE AND TIME 05/06/26 08:31
OF COLLISION
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