HomeMy WebLinkAbout26-4904 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EH22581 170
27
COLLISION REP FIT 1591971
SASE 26-4904 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 N E IN CITY#
cowsloN 06 - 1-- 2026 1002 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
ROUSER WAYN BLOCK NO. e ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ VV a BRONSON WAYN
0 3 29
MOTOR PEDAL- DAM THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El YEs No ,/ D:5623097067 0 3 30
6❑ LAST NAME GREEN FIRSTNAME BARBARA MIDDLE J 1 1 2 31
INITIAL
STREET ❑ 32351 20TH PL SW CITY FEDERAL WAY ST WA ZIP 98576 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNIT{ON PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO,/ INTERLOCKYEs NO�/ YEs No�/
8❑ LDRIVER # STATE WA SEX'F MMDDYY 06 — 05 — 1957 1 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USE CLASS 2 CLASS 1 NATURE OF INJURIES z❑
3
10❑ Pi ATNES# CFW8172 sTAr WA u N# 1 G6AX5SX2E0179692
----� TRAILER STATE PLAT Eft STATE
11 0 0 PLATE# PLATE# FROM TO
TRLR. YRLR. 5 3 33
12 0 0 VIN#' VIN#
FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 5 3 34
13 1 2014 CADI CTS 4D DAMAGE YES NO ves❑ No
REGISTEREDOWNERINFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 LIABILI INSURANCE INSURANCE CO TRAVELERS 6169502162031 3 4
IN EFFECT &POLICY# 9TOP
VEF" 1 5 36
LEGALLv res❑NO❑ CITATION# CHARGE 10 BOTTOM
15❑ STANDING 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT U2 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES NO ,/ D:2062145398
16 a
LAST NAME SCHATZER FIRST NAME LEVI IN DOLE q
NITIAL
17❑ STREET ❑', 25438 113TH AVE SE CITY KENT ST WA ZIP 98030 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL—T�RANSPORTED ❑ 38
INTERLOCKYES�NO� INTERLOCK YEs It I NOF YES
t l NOF,/
19[-] DRIVER'S STATE WA SEX M D.C.B. 10 _ 07 1981 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 C97091N TAre WA vIN# 1GCGG25C981111631
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2008 MAKE CHEV MODEL EXPRESS STYLE VN VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO,� YES NO
REGISTERED OWNER INFO HEATING MARKO 21728130TH AVE SE KENTWA98031 VEHICLE NO.2
SHADE DAGED AREA
4
LIABILITY
INSURANCE &POINSURGY#E CO STATE FARM 442-8102-EO5-47MIN 1 9TOP 5
VEHICLE ❑ ,.I—I CITATION# CHARGE io BOTTOM
LEGALLY YES N`LJ
25 s � e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
DAV/D DOUGHERTY 13183 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EH22581
COLLISION REPORT III III III III III 111
1591972 CASE# 26-4904
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
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.
DAVID DOUGHERTY 06-23-26 06:32 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.TRADER 4553 1 712112026 1:05:02 PM
BADGE OR ID# 13183 OR]#' WA0171300 TIME POLICE DISPATCHED; 10:16 AM TIME POLICE ARRIVED]10:22 AM
PART I PAGE IT]OF 4�
REPORT NO. EH22581 CASE# 26-4904 OF COLLISION
06/23/26 10:02
OF CbLLI510N
NARRATIVE
Case 26-4904
1 was working as a fully uniformed City of Renton Police Officer in a fully marked City of Renton,
Police Car as unit K939. Working in the City of Renton, County of King, State of Washington.
This report is a summary of events that occurred and is not an exact sequencing of events.
Statements have been paraphrased and summarized. At the time of this call my body worn camera
was activated.
On 6/23/2026, at 1016 hours, I was dispatched to 340 Sunset Blvd N for a report of a two-car motor
vehicle collision that had occurred at Houser Way N and Bronson Way N in the right-hand turn lanes.
When I arrived at 340 Sunset Blvd, I saw two vehicles in the parking lot. I saw a gray 2008 Chevrolet
Express G2500 (WA plate C97091 N), with slight paint transfer on the right front passenger side
fender and running board. I also observed a 2014 tan, Cadillac CTS (WA Plate CFW8172), with paint
transfer and damage to the left front driver's door and fender.
I spoke to the driver of the Chevrolet express van who was identified as Levi A Schatzer (DOB
10/07/1981). Levi showed me a map of the Houser Way N and Bronson Way N intersection and
showed me which lane he had been turning in when his vehicle was hit. Levi's van was in far-left
right hand turn lane and was struck by the tan Cadillac in the middle of the turn. I took photos of the
damage to Levi's work van and later uploaded them to evidence.com.
I spoke to the driver of the tan Cadillac who was identified as Barbara J Green (DOB 06/05/1957).
Barbara stated that she was in the second to last far left right hand lane and attempted to turn and
collided with the Chevy van. Barbara stated she thought she had to go straight before turning. I took
pictures of the damage to Barabra's vehicle and later uploaded them to evidence.com.
Levi also confirmed that Barabra had attempted to go straight, and he believes she was following
another vehicle that improperly merged into the far-left right hand lane. I believe based on the
damage and what Barabra and Levi told me, Barabra would be the at fault driver. I provided
exchange of information sheets with the case number to both Levi and Barbara. This ends my report.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically signed by D. Dougherty on 06/23/2025 at 1830 hours, In the City of Renton, WA.
PAGE 3 OF 4
REPORT NO. EH22581 CASE# ' 26-4904 DATE AND TIME 06/23/26 10:02
OF COLLISION
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