HomeMy WebLinkAbout26-5398 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
CASE 26-5398 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4300 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 2$
TRIBAL 1 02 STRUCK MAILBOX
RESERVATION
z
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
cowsloN 07 - 11 - 2026 1033 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
2209 WELLS CT S BLOCK NO. e✓ Y200
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 500 00 FEET MILES e S B W e S 22ND CT
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2532265602 30
5❑ LAST NAME LUONG FIRSTNAME KEVIN MIDDLE N 1 1 2 31
INITIAL
STREET ❑, 2111 WELLS CT S CITY RENTON ST WA ZIP' 980554356 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCK YES NO YES No
8❑ LICENSE# STATE WA SEX'M I D-MMDDYY 08 - 03 - 2000 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 9 EJECT 1 HELMETU SE CLASS 1 NATURE OF INJURIES z❑
3
10❑ P1 ATNES# AXH0791 sTAr WAv N# 1N46A41E14C836532
----� TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM TO
FT -R TRLR 1 5 33
12❑ VIN#' VIN#
2004 NISS MAXIMA P4YES[:]
❑ FROM
34
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE
13 0 DAMAGE YES NO �I YES NO
REGISTERED OWNER INFO CHUNG ROJAS 2111 WELLS CT S RENTONWA 98055 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14❑ LIABILITY INSURANCE NPOLICY E CO STATEFARM 535-226-5602 4
LI EFFECT &SURAN# TOPVEHICLE CHARGE36
LEGALLY YES❑NO CITATION# <1�3
OTTOM
15❑ STANDING 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
16
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:9999999999
❑
LAST NAME UNKNOWN FIRST NAME UNKNOWN MIDDLE
INITIAL
17❑ STREET ❑', 2200 WELLS CT S CITY RENTON ST WA ZIP 98056 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICALt-T�RANSPORTED 38
INTERLOCKYES�NOR INTERLOCK YEs I I NoF YES t l NO❑
19 LLIICENS RIVERIS# STATE SEX X MMDDYY -=_ 39
-----WELMET NATURE OF INJURIES 4O
20❑ ON DUTY STATUS' AIRBAG RESTR EJECT USE CLASS ❑
❑21❑ LICENSE TArE VIN# 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ TRLR R 43
LR
VIN#. N I #.
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
INAEFFIECTTY NSURANCE❑ &POINSULICY#E CO 1 9TOP 5
VEHICLE ❑ C[:] CITATION# CHARGE i o BOTTOM
LEGALLY YES N
25 s e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
SULIASI TAMAIVENA 12788 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EH2O717
COLLISION REPORT III III III III III 111
1591972 CASE# 26-5398
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.
SULIASI TAMA/VENA 07-11-26 04:45 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
D.SKELTON 9139 7/15/2026 3:52:25 AM
BADGE OR ID# 1Y788 OR]# ! WA0171300 TIME POLICE DISPATCHED 10:34 AM TIME POLICE ARRIVED]10:46 AM
PART I PAGE IT]OF 4�
TIME
REPORT NO. EH2O717 CASE# 26-5398 OF COLLISION07/11/26 10:33
NARRATIVE
On 07/11/2026, at approximately 1034 hours, I was dispatched to an accident at 2209 Wells CT S, in
the City of Renton, while I was employed as a uniformed Patrol Officer for the City of Renton, County
of King, State of Washington. The reporting party advised of a vehicle vs community mailbox.
As I arrived on scene, I was told by another officer who spoke with Unit#1 and provided the following
information.
Unit#1 advised that this morning, he was en route to his mother's house (location unknown) to do
laundry. He said that, while leaving his house, he was driving south on Wells CT S when he started to
fall asleep. He then fell asleep and woke to his vehicle colliding with the community mailbox that was
placed on the sidewalk in front of the location above. The mailbox was completely torn off. The Pole
that holds the mailbox was snapped off.
The vehicle's front bumper was also completely torn off. Vehicle damage was estimated at just over $
1,000. As for the mailbox, the estimated repair cost ranges from $1,000 to $5,000.
Unit#1 stated he had a long night, was out with his friend, and slept for only 8 hours. This morning,
he went out with his friends for a 5-hour hike. He returned home tired and sleepy, but needed to get
his laundry done. He says his tiredness caused the accident.
As of right now, I am unable to locate the property owner for the mailboxes. It is believed that the
ownership is shared with the community. My business card and case number were left visible in the
mailbox in case someone takes responsibility or knows the owners.
There were no signs of him being impaired.
Photos were taken and uploaded as evidence.
This includes my report.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct. This report was electronically signed by Officer S. Tamaivena #12788,
07/11/2026, at 1620 hours, Renton, WA.
PAGE 3 OF 4
REPORT NO. EH2O717 CASE# ' 26-5398 DATE AND TIME 07/11/26 10:33
OF COLLISION
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