HomeMy WebLinkAbout26-5103 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 6 27c
COLLISION REP FIT 1591971
CASE 26-5103 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4Y00 3
HIT 8 RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 2 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 06 - 1-- 2026 0644 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
e✓ --- ----� ❑
N 3RD ST MILEPOST
4a❑
DISTANCE OF(REFERENCE OR CROSS STREET) BLOCK NO.
5❑ ❑ FEET e S ❑ W e FACTORYAVE N
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2066814760 0 11
30
6 LAST NAME OLIVERA DIAZ FIRST NAME ABEL MIDDLE 1 2 31
INITIAL
STREET ❑ 13224 35TH AVE S CITY TUKWILA ST WA 2jp, 98168 z=
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs NO YES R NO
8 LRIIVERCENS # STATE SEX'M MDMDo 04 - 10 - 2004 1 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET ICNIJAU RY 1 NATURE OF INJURIES 2❑
3
10❑ P1 aT�S� CGJ5555 sTArI WAvIN# 1 FTRE14251 HA70980
0 TRAILER STATE TRAILER STATE
11 3 0 PLATE# PLATE# FROM ro
TRLR. TRLR 7 3 33
12 3 0 VIN#' VIN#
:: FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 5 1 34
13 1 2001 FORD ECONO DAMAGE YES NO YES❑ No✓
REGISTEREDOWNERINFO MOISES SANDOVAL JIMENEZ 8556 S 123RD PL SEATTLEWA98178 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 ❑ NSURANCECO 3
LIABILITY INSURANCE
IN EFFECT &POLICY# 9TOP 5
vewcLE CHARGE 10 BOTTOM 36
LEGALLY YES No clTAnoN# 6A0254455,6A0254455 VEH ENTER INTERSEC STEADY RED
15❑ STANDING 8 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE: ❑ ❑ OWNER ❑ YES 1/ NO D:2535615621
16 a
LAST NAME PARK FIRST NAME TED MIDDLE T
INITIAL
17❑ STREET ❑', 11352 SE 211 TH LN APT 45 CITY KENT ST WA ZIP 98031 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 DRIVER'S STATE WA SEX M D.Q.B. 05 _ 05 _ 1967 0 39
LICENSE# MMDDYY
WELMET INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑
21❑ LICENSE A/Y6248 TAre WA vIN1 1HGCP2F69CA179803
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
GI
VEH YEAR 2012 MAKE yOND MODEL ACCORD STYLE DAMAGE TOWED NOO✓ BLIN TOWED BY ov HYES NO 44
24❑ ES
REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE INSU8 PORGY#E CO STATE FARM 063 6089-Ai2-47DIN 1ULlliKOTlTlfll;0-
EvEwcLE ❑ ,J� CITATION# CHARGELEGALLYSN`L J25 OFFICER'S NAM (PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
C.ARNOLD 12509 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EH22564
COLLISION REPORT III III III III III 111
1591972 CASE# 26-5103
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME
(/AST 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 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.ARNOLD 06-30-26 07:49 AM
NVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 712112026 12:59:01 PM
BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 6:47 AM TIME POLICE ARRIVED',6:51 AM
PART I PAGE IT]OF 4�
REPORT NO. EH22564 CASE# 26-5103 OF COLLISION
06/30/26 06:44
OF CbLLI510N
NARRATIVE
CC 26-5103
On 6/30/2026 at 0647 hours I was dispatched to a motor vehicle collision at N 3rd St and Factory Ave
N in the City of Renton, King County, Washington.
Pre-Collision
Driver 2 stated that he was traveling North on Factory Ave N crossing N 3rd St with a green light.
Driver 1 stated that he was facing East on N 3rd St at Factory Ave N in the #3 lane proceeding East.
Driver 1 stated that he had a red light.
Collision
Driver 2 stated that Unit 1 ran the red light and he was unable to stop to avoid a collision. Driver 2
stated that the front passenger side bumper of Unit 2 collided with the rear passenger side
bumper/quarter panel of Unit 1.
Driver 1 stated that he did not notice that the light was red until it was too late. Driver 1 stated that he
entered the intersection against a steady red light and that he when he entered the intersection he
was unable to stop or slow to avoid a collision. Driver 1 stated that the front passenger side bumper
of Unit 2 collided with the rear passenger side bumper/quarter panel of Unit 1.
Driver 1 provided me with his name and upon a check of DOL there was no record and showed that
he did not have a drivers license. Driver 1 was unable to provide a drivers license but mentioned that
he has a drivers license out of Mexico. I am unable to verify the validity of this claim. Driver 1
informed me that he does not have insurance.
Injuries
None reported.
Vehicle Disposition
Both vehicles were operational.
Proximate Cause
I determined that Driver 1 is the proximate cause of this collision because vehicle operators facing a
steady circular red signal alone shall stop at a clearly marked stop line, but if none, before entering
the crosswalk on the near side of the intersection or, if none, then before entering the intersection
control area and shall remain standing until an indication to proceed is shown. Had Driver 1 stopped
at the required position, this collision would not have happened.
Driver 1 was cited reference RCW 46.61.055 and RCW 46.30.020.
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 07:27 on 6/30/2026 in the City of Renton, King
County, Washington.
PAGE 3 OF 4
REPORT NO. EH22564 CASE# 26-5103 DATE AND TIME 06/30/26 06:44
OF COLLISION
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PAGE 4 OF 4