HomeMy WebLinkAbout26-4098 TFFiNouCERA II I III 1 III I III I IIII III II I . 5 27c
COLLISION REP FIT 1591971
SASE 26-4098 2
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 �2$
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# ❑
CowsloN 05 - 1-- 2026 1000 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
GRANDEY WAY NE BLOCK NO. e✓ 473
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e 0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:4253618307 30
6� LAST NAME STUART FIRSTNAME MARK MIDDLE W 1 1 2 31
INITIAL
STREET ❑ 7229 245TH WAY NE CITY REDMOND ST WA ZIP 98053 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION : PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs NO YES No
$ DRIVERS
# STATE SEX'M MMDDYY 01 - 15 - 1957 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET USE 2 CLASRuY 1 NATURE OF INJURIES z❑
3
10❑ PI ATE
S� CAJ1237 sTArr WAurN# 1 FMCU9J94KUA40477
IT STATE TRAILER STATE
11 0 0 PLATE# PLATE# Rom ro
TRLR. A'RLR. 1 5 33
12❑ VIN#' VIN#
FROM
19 FORD ESCAPE UT
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWEED TO BLIN TOWED BY GOVT.VEHICLE
13 9 DAMAGE YES NO YES[:]
✓ 34 NO
REGISTERED OWNER INFO MARKSTUART 7229245TH WAYNE REDMOND WA 98053 D:4253618307 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14❑ LIABILITY INSURANCE❑ INSURANCE CO ��3q� 4
IN EFFECT &POLICY# OOP
LEGA LE CHARGE 5 ❑ 36
LEcnlly res❑NO❑ CITATION# 10 BOTTOM
15❑ STANDING 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT U2 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2062651360
16❑
LAST NAME ZHANG FIRST NAME XIAO MIDDLE I L
INITIAL
17❑ STREET ❑', 473 GRANDEY WAY NE CITY RENTON ST WA ZIP 98056 37
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 DRIVE # STATE SEX F M .O.B. 08 _ 01 196 5 39
INJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG RESTR EJECT USE CLASS ❑
❑21❑ LICENSE TArE VIN# 41
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
L4❑ 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 I 9TOP 5
VE""LE ❑ ,J� CITATION# CHARGE i o BOTTOM
LEGALLY YES N J
25 s 6
7CA
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26LAN 12007 WA0171300
PART A PAGE 01 OF
3000-345-159 fR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EH12983
COLLISION REPORT III III III III III 111
1591972 CASE# 26-4098
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
PM 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.
C.CATALAN 05-30-26 01:52 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
K.LANE 10008 6/17/2026 12:15:18 PM
BADGE OR ID# ( 1Y007 ORI#' ; WA0171300 TIME POLICE DISPATCHED 12:40 PM TIME POLICE ARRIVED',12:58 PM
PART I PAGE IT]OF
REPORT NO. EH12983 CASE# 26-4098 OF COLLISION
05/27/26 10:00
OF CbLLI510N
NARRATIVE
26-4098
On May 27th, 2026, at 1240 hours dispatch requested that I contact a property owner in regard to a
collision that occurred on their property at 473 Grandey Way NE, in the city of Renton, county of King,
and state of Washington.
Upon contact, I spoke with the victim, identified as Xiao Zhang (08/01/1965), and she explained that
her tenant had recently collided with her front carport causing substantial damage to her carport/roof.
Xaio stated that the tenants never reported the collision to her independently and that she was
contacted by their next-door neighbor, Veronica A. Maxey (03/13/1954).
Veronica told Xaio that her tenants had reversed out of the driveway, but then when they tried driving
forward, the tenant lost control and struck Xaio's car port. The vehicle impacted the right pillar that
supports the carport. When impact was made, the carport collapsed, bringing down part of the roof
with it. The vehicle also struck Veronica's carport as well, causing one of the pillars to move off its
base.
The damage to Xaio's home is substantial and I assume it'll be thousands of dollars to repair.
Later, I spoke with Veronica and she confirmed Xaio's story. Veronica stated she was outside at the
time of the collision and witnessed the entire incident. Veronica stated that the tenants have an adult
son with special needs. It appeared that they were in a hurry for a doctor's appointment. The tenants
reversed and struck two pillars belonging to two different homes. When Xaio arrived, the tenants were
gone but communicated with Xaio they would return in the afternoon.
Around 1500 hours, I returned to the address and spoke with the tenant, identified as Mark W. Stuart
(01/15/1957). Mark immediately admitted to causing the collision. Mark explained told me he didn't
pay attention to his accelerator and brake. When he drove forward, he collided with the two carports,
located at 473 and 469 Grandey Way NE.
I checked Marks vehicle and noticed damage along the front and roof of the vehicle. Mark owns a
2019 Ford Escape bearing Washington plates CAJ1237.
I provided my information case number to all the 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 05/30/2026 Renton, King County, WA.
PAGE 3 OF 5
SUPPLEMENTAL REPORT NO. EH 1 2983
r` POLICE TRAFFIC 1 27
COLLISION REPORT CASE# 26-4098
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 I_J CYCLE u PEDESTRIAN � OWNER � YEs� NO
D:4253063437
MIDDLE.. 29
LAST NAME MAXEY FIRST NAME VERONICA INITIAL A
STREET 30
NEW AnnRFSP 469 GRANDEY WAY NE CITY RENTON ST WA ZIP 98058
6
II 1 31
CDL GNITItN REQUIRED GNITION PRESENT MEDEC INTERLOCK YEsNo zERLOCK YES❑N0� T
L
DRIVER'S STATE I SEX F M�DDYBYv 03 - 13 - 1954
LICENSE
7 F-I ON DUTY STATUS AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
USE GLASS
8 ❑ ' 1 32
LICENSE+ rar VIN.#
PLATE#
9F-I TRAILER TRAILER
PLATE# STATE PLATE# STATE
10 ❑ TRLR TRLR
VIN.#. VIN.#.
11 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWS T SABLIN TOWED BY anvi vEHIC P FROM TO
DAMAGE Y E ES NO YES NO
REGISTERED OWNER INFO. m 33
12 SHADE IN DAMAGED AREA
FROM TO
((ABILITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# tGQ
EHILLE 34
13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE
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 ❑ 36
STREET
16 NEW AnnRFs.� CITY'. ST ZIP
CDL IGNITION REdUiRED IGNITION PRESENT MEDICALTANSPORTED
INTERLOCK YES No INTERLOCK YEs NO YEs NO El
17 37
LICENSE# STATE SEX MMDDDYBYY
18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38
USE (CLASS
19 ❑ vIN 39
LICENSE #
PLATE# rnr
20 ❑ TRAILER' TRAILER ❑ 40
PLATE# STATE PLATE# STATE
21 ❑ TRLR TRLR 41
VIN# YIN#i
42
22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TO 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 LEwGLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM
C=DLv
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.
C.CATALAN 05-30-26 01:52 PM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
26 � OR BADGE
12007 O#I',WA0171300 APPROVED
BY 6/117/2026 PAGE�OF
3000-345-013(R 11118)
REPORTNO.! EH12983 CASE# 26-4098 DATE AND TIME 05/27/2610:00
OF COLLISION
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PAGE 5 OF 5