HomeMy WebLinkAbout23-12693 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
CASE 23-12693 z
INTERSTATE ❑ CITY STREET FIRE F RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 2$
TRIBAL UNITS 01 STRUCK' TREE OR STUMP
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
CowsloN 11 - 1-- 2023 1956 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
MAPLE VALLEY HWY BLOCK NO. e✓ 4057
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:2069313584 30
6� LAST NAME LEE FIRSTNAME YOUNG MIDDLE W 1 1 2 31
INITIAL
STREET ❑, 1906 NE 65TH ST CITY SEATTLE ST WA 2jp, 98115 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO 1/ INTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 3 RESTR 4 EJECT 1 HELMET
2 CLASS 1 NATURE OF INJURIES z❑
3
10❑ P1 aT�S� CAP8123 sTArI WAvrN# WDBUF56X876064026
TRAILER STATE TRAILER STATE
11 4 0 PLATE# PLATE# FROM TO
TRLR. TRLR 3 7 33
12❑ vIN#' UIN#
2 MERZ E 4DYES[:]
❑ FROM
34
13
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE
007 4 DAMAGE YES NO �/ YES NO
REGISTERED OWNER INFO YOUNGLEE1906NE65THST SEATTLEWA98115 D:2069313584 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14❑ LIABILIT INSURANCE INSURANCE CO GEICO 4373.64.96.74
IN EFFECT &POLICY#
CH
VEHICLE ARGE ❑ 36
LEGALLY
res❑NO❑ CITATION# BOTTOM
15❑ STANDING
�UITN U2 VEHICCLE ❑ CYCLE ❑ PEDESTRIAN ❑ oWNFRRTY ❑ DYESMOTO NO OLD MET PHONE
16❑
LAST NAME FIRST NAME MIDDLE
INITIAL
STREET
CITY' ST ZIP 4❑ 37
17❑ 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 LLIICENS # STATE SEX MMDDYY —�_ 39
HELMET INJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG RESTR EJECT USE CLASS ❑
❑21❑ TArE 41
IN#LICENSE V 1
PLATE#
42
22 [TRAILER T
❑ PLATE# STATE PLATE#ILER STATE
23❑ 43
TRLR RLR
UIN#. 'IN#.
VEH YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN
TOWED BY Gov HI 44
24❑ 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
JAREN JOKELA 12805 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE27734
COLLISION REPORT III III III III III 111
1591972 CASE# 23-12693
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.
JAREN JOKELA 11-03-23 11:06 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.TOLLIVER 10540 121712023 2:21:42 AM
BADGE OR ID# 12805 OR]# WA0171300 TIME POLICE DISPATCHED 7:88 Pry TIME POLICE ARRIVED 8:00 PM
PART I PAGE IT]OF 4�
REPORT NO. EE27734 CASE# 23-12693 OF COLLISION
11/03/23 19:56
OF CbLLI510N
NARRATIVE
Renton Case #23-12689
On 11/03/2023 at 1828 hours I was dispatched to 4050 Maple Valley HWY, in the City of Renton,
King County, Washington. I was responding to a call of an accident with injury.
While en route, dispatch advised the following: One motor vehicle collision, vehicle flipped, and the
driver has yet to exit the vehicle. Vehicle is a black, four-door sedan.
At approximately 2000 hours I arrived on scene and observed Unit 1 flipped, blocking lane #2 of the
westbound direction of travel. The vehicle was located in the 4057 block of Maple Valley HWY. Prior
to my arrival, the driver of Unit 1, Young W Lee, was able to exit the vehicle. As I arrived on scene, 1
observed the driver standing next to the vehicle.
In speaking with the driver, he stated he had just left the Maplewood Golf Course, stopped at a
nearby Subway and was on his way home when the collision occurred. Lee stated that he was tired
and not exactly sure how the collision occurred. While speaking with Lee, I did not detect any odors of
alcohol or notice any other signs of impairment.
In investigating the collision, tire marks were observed leading onto the sidewalk, into a grassy area
and eventually striking a tree. After striking the tree, the vehicle flipped over and came to lay where I
found it upon arrival.
The Renton Fire Department arrived on scene and evaluated Lee for any injuries. No injuries were
noted and Lee declined going to the hospital for further evaluation.
I took photographs of the collision scene as the fire department was evaluating Lee. All photos were
later uploaded to Axon as evidence.
Bankers Towing eventually arrived on scene and took possession of Lee's vehicle.
I provided Lee with a business card, case number and a courtesy transport to the Renton Police
Department where he arranged to have his wife pick him up.
This ends my report.
I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
Electronically signed by Ofc. Jaren Jokela #12805, 11/03/2023 at 2127 hours in Renton, Washington.
PAGE 3 OF 4
REPORT NO. EE27734 CASE# ' 23-12693 DATE AND TIME 11/03/23 19:56
OF COLLISION
4057 MAPLE VALLEY HWY,
NOT TO SCALE
PAGE 4 OF 4