HomeMy WebLinkAbout26-4759 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
SASE 26-4759 2
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4Y00 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 CITY#
COLLISION' 06 - 18 - 2026 1606 17 . N E IN� S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
SUNSET BLVD N BLOCK NO. e ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ �.❑ FEET e S ❑ W e N 3RD ST
2 0 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:2067935398 0 11
30
6� LAST NAME FENTY FIRSTNAME DOUGLAS MIDDLE A 1 1 2 31
INITIAL
STREET ❑ 16229 SE 175TH PL C{TY RENTON ST WA ZIP 980589101 z
NEW ADDRESS
]❑ 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 H USEET 2 CLASS 1 NATURE OF INJURIES z❑
3
10❑ P1 ATNES# BTD5987 sTAr WAu N# WAUENAF43KN009852
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. A'RLR. 1 5 33
12 3 5 VIN#j VIN#
FROM TO
VEH.YEAR 2019 MAKE AUDI MODEL A4 STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 1 $ 34
13❑2 DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO DOUGLAS FENTY 16229 SE 175TH PL RENTON WA 98058 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 902 852772 3 4
IN EFFECT &POLICY# 9TOP
❑ vEHICLe CHARGE 1 5 36
15 2 srANON YES No CITATION# 6A0323524 IMPROPER LANE USAGE s 10 eorrom
MOTOR PEDAL- 'PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES NO ,/ D:2068169562
16 a
LAST NAME HOFFMAN FIRST NAME ISAAC MIDDLE L
INITIAL
17❑ STREET ❑', 21619 SE 237TH ST CITY MAPLE VALLEY ST WA ZIP 980388556 37
NEW ADDRESS ❑
18� CDL ., IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL TRANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK YEs I I NOF YES
t l No❑
19[ DRIVER'S STATE WA SEX M D.C.B. 11 23 _ 1983 0 39
LICENSE# MMDDYY
HELMET {NJURY 1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS ❑
21❑ LICENSE I C95415N TAre WA vIN# 1GCHK23K97F536863
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ UIN#. IN#.
43
RLR
'
VEH YEAR 2007 MAKE CHEV MODEL SILVERA STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO ISAAC HOFFMAN 21619 SE 237TH ST MAPLE VALLEY WA 98038 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE INSU&PORGY#E CO ALL STATE 820 631803IN 1ULlliKOTlTlfll;0-
"'-R"'E""LE ❑ ,J� CITATION# CHARGELEGALLYYES N`L J25 7CA
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
LAN 12007 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EH22563
COLLISION REPORT III III III III III 111
1591972 CASE# 26-4759
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 06-30-26 11:04 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
C.JACOBS 1953 712112026 12:55:26 PM
BADGE OR ID# 1Y007 ORI# WA0171300 TIME POLICE DISPATCHED 4:48 Pry TIME POLICE ARRIVED',4:56 PM
PART I PAGE IT]OF 4�
REPORT NO. EH22563 CASE# 26-4759 OF COLLISION
06/18/26 16:06
OF CbLLI510N
NARRATIVE
On June 21, 2026, at approximately 1606 hours, I was dispatched to a non-blocking collision at the
intersection of Sunset Blvd N and N 4th St, within the City Limits of Renton, County of King, State of
Washington.
Upon my arrival, I confirmed there were no complaints of injury requiring immediate medical response
at the time of report. There, I was able to collect each involved party's information and independent
summary of the events leading to the collision.
The driver of Unit 1, identified as Douglas A. Fenty, said he was traveling southbound on Sunset Blvd
N and approaching the intersection of N 3rd St in lane 2 of 3. Doughlas stated that he needed to get
into the left lane (lane 3 of 3). Douglas stated that Unit 2 had created a gap in traffic allowing vehicles
to merge, so he believed he could proceed left and make his lane change. While making the lane
change, Unit 1 and Unit 2 collided in lane 3 of 3 causing moderate damage to the driver's door of Unit
1. Douglas said that most of his vehicle was already in lane when the collision occurred. He
insinuated that Unit#2 purposely sped up in their lane, causing the collision.
The driver of Unit 2, identified as Isaac Hoffman, said he was the sole occupant of his vehicle and
was also traveling southbound on Sunset Blvd N and approaching the intersection of N 3rd St in lane
3 of 3. Isaac confirmed that he created a gap in traffic prior to the collision. Issac stated he was
intending to continue straight when Unit 1 changed lanes from lane 2 of 3 and into lane 3 of 3 which
Unit 2 was occupying. Issac said he was unable to avoid the collision and Unit 1 subsequently
collided with Unit 2. Unit 2 sustained minor scuffing to his right front tire.
Based on the above statements, I determined that the Driver of Unit 1 (Douglas) is the proximate
cause for the cause of collision as Douglas violated RCW 46.61.140(1) which states that a vehicle
shall be driven as nearly as practicable entirely within a single lane and shall not be moved from such
lane until the driver has first ascertained that such movement can be made with safety. Douglas
made a lane change into Unit 2's lane of travel which had the right of way and was underway.
Douglas did not ensure that traffic in lane 3 of 3 was clear of hazard before making the unsafe lane
change.
I cited Douglas via mail for Improper Lane Usage causing a collision.
Both Unit 1 and Unit 2 were drivable, so no tows were required. 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 06/21/2026 Renton, King County, WA.
PAGE 3 OF 4
REPORT NO. EH22563 CASE# ' 26-4759 DATE AND TIME 06/18/26 16:06
OF COLLISION
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PAGE 4 OF 4