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HomeMy WebLinkAbout24-2290 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c COLLISION REP FIT 1591971 SASE 24-2290 z INTERSTATE ❑ CITY STREET ❑ FIRE ❑ RESULTED 1 STOLEN STATE ROUTE OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4900 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 1 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS OS STRUCK RESERVATION z 3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ COLLISION.. 03 - 01 - 2024 1816 17 �.❑ S 8 W H OF e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ MAPLE VALLEY HIGHWAY BLOCK NO. e✓ 3900 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 6❑ 150 00 FEET e S ❑ W e 131STAVESE 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El �/No D:2539851939 0 7 30 6 LAST NAME LEMUS MARTINEZ FIRST NAME JESUS MIDDLE 1 1 2 31 INITIAL STREET El 609 117TH ST S CITY TACOMA ST I WA Zlp, 98444 z NEW ADDRESS ]❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 1/ I INTERLOCK YES[:]NO NTERLOCKYEs Z/NO YES R NoF,/ LRIIVER # STATE WA SEXI M I EL MI MIT Y 8❑ ' 05 — 12 — 1992 1 2 32 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET USE 2 CLASS 1 NATURE OF INJURIES z❑ 3 10 9❑ PI ATFBit C12962R sTArr WA urN#' 1FTFW1ET16F648885 TRAILER STATE TRAILER STATE 11 4 0 PLATE# PLATE# FROM TO TRLR. TRLR 7 3 33 12 4 0 VIN#' VIN#' >; FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE J 9 34 13 4 2011 FORD F150 PK DAMAGE YES No YES[:] No No REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA ❑ 35 14 LIABILITY INSURANCE❑ INSURANCE CO <53 4IN EFFECT &POLICY# rOPVEHICLE CHARGE 36 LEGALLY YES NO CITATION# 4AO047927 OP MOT VEH W/OUT INSURANCEorrom 15❑ STANDING 6 MOTOR PEDAL-: PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT U2 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ No D:4252433318 16 a LAST NAME YEUNG FIRST NAME SABRINA MIDDLE K INITIAL 17 NEW STREETR 7' 15212 SE 179TH ST CITY RENTON ST WA ZIP 98058 37 18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38 INTERLOCK YEs❑No� INTERLOCK YEs❑NOF YES ❑NOF,/ 19 LDIIVEW # STATE WA ]SEX IF M .C... 11 21 1959 39 20❑ ON DUTY STATUS I AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40 ❑ILICENSE 21❑ PLATE# AOR5895 TArE WA VIN1i JTMZK33V675015125 41 1 42 22❑ PILER LATE# STATE PLATE# STATE 23❑ VIN#. 43 TRLR RLR 'IN#. TOWED BY GOV HI 44 VEH YEAR 2007 MAKE 7'Oy7' MODEL RA V4 STYLE P4 DAMAGE TOWED NOO✓ BLIN YES NO 1/ 24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2 SHADEDAMAGEbAREA 3 Cd LIABILITY INSURANCE &POINSURGY#E CO ALLSTATE 976053117IN STOP VE""LE CITATION# CHARGE 25 to BOTTOM LEGALLY YES Nu ❑ OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 D.NELSON 12421 WA0171300 PART A PAGE 01 OF C7 3000-345-159 fR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE56992 COLLISION REPORT III III III III III 111 1591972 CASE# 24-2290 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. D.NELSON 03-01-24 08:18 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE P.SUMMERS 8887 31712024 2:19:20 PM BADGE OR ID# ! 12421 ORI#' WA0171300 TIME POLICE DISPATCHED 6:17 PM TIME POLICE ARRIVED',6:25 PM PART I PAGE IT]OF 5� TIME REPORT NO. EE56992 CASE# 24-2290 OF COLLISIONO3/01/24 18:16 NARRATIVE 24-2290 COLL On 3/1/2024 1 was working as a uniformed patrol officer and driving a marked patrol vehicle for the City of Renton. I was dispatched to a report of a three-vehicle collision in the 3900 block of Maple Valley Highway Renton/King/WA. I arrived on scene and located all three involved vehicles, a white 2011 Ford F150 WA/C12962R was the last vehicle. I spoke with the driver who identified himself via his WADL as Jesus Lemus Martinez DOB: 5/12/1992. Jesus told me that he was driving east on Maple Valley Highway when he noticed the vehicle in front of him had stopped. He said that he locked the brakes up and attempted to stop but was not able too and collided with the vehicle in front of him. There was damage to the front the F150 and the rear of the Rav4. Jesus was not injured and was able to driver away from the scene. I then spoke with the driver of the Toyota Rav4 WA/AQR5895 who identified herself as Sabrina K Yeung DOB: 11/21/1959 by her WADL. She advised that she was stopped for traffic when she was struck from behind by the Ford F150 which caused her to collide with the vehicle in front of her. There was damage to the front and rear of Sabrina's Rav4. She advised she was not injured and was able to drive away from the scene. I then spoke with the driver of the Buick Envision WA/BZZ2371, who was identified by his WADL as Jason E Jazbinschenk DOB: 10/1/1983. Jason also advised that he was stopped for traffic when he was struck from behind by the Rav4. There was damage to the rear bumper of the Buick. Jason said that he possibly had whiplash from the collision but declined to be seen by RRFA. Jason was able to drive away from the scene. Based on accounts from the involved drivers and damage to the involved vehicles it appeared that the Rav 4 and Buick were stopped for traffic and the F150 failed to stop and collided with the Rav 4. When I asked Jesus for his insurance, he admitted he did not have any insurance on the vehicle at all. When I ran Jesus through WADOL it showed that Jesus did not have a valid operator's license, it showed him as Not Licensed -Eligible. I completed a Sector citation for Operating a Motor Vehicle Without Valid Insurance RCW 46.30.020 and No Valid Operator's License with ID RCW 46.20.015 for Jesus and advised him that it would be mailed to his address. Jesus confirmed his address to me as 609 117th St S Tacoma WA 98444. This citation should be mailed to Jesus. Nothing further. PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. EE556992 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 24-2290 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY ;TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER L ADDRESS ` CITY ST ZIP—1 I ' 4 ❑ NAME # PLACARD: :❑ GI PLACARD IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE tSJ CYCLE I_) PEDESTRIAN � OWNER � YES NO D:4077385295 0 7 29 LAST NAME JAZBINSCHECK FIRST NAME JASON MIDDLE E INITIAL STREET 30 NEW AnnRFrtP 17526 149TH AVE SE UNIT J2 CITY RENTON ST WA ZIP 98058 6 ❑ 1 1 2 31 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED INTERLOCK YEs NO zERLOCK YES❑N0� YEs N DRIVER'S LICENSE STATE I WA SEX M MMDDYYv 10 TO] - 1983 7 HELMET :INJURY' NATURE OF INJURIES ON DUTY STATUS AIRBAG 2 RESTR. 4 EJECT 1 USE 2 CLASS 7 COMPLAINT OF WHIPLASH 8 ❑ 1 32 LICENSE BZZ2371 [TAT WA VIN# LRBFZPR41MD125990 PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN It VIN.#. 11 4 0 VEH.YEAR2021 MAKE BUIC MODELENVIS/ON STYLE P4 VEHICLE TOWE E T SABLIN TOWED BY f;nVT vFHIG F FROM TO DAMAGE YES NO YES NO OWNED BY DRIVER J 9 33 REGISTERED OWNER INFO 12 � SHADE IN DAMAGED AREA 7 j FROM TO LIABILITY INSURANCE INSURANCE CO GEICO 4604-53.08.34 R"i"Olx IN EFFECT &POLICY# 1 VEHICLE 34 13 4 LEGALLY YESZ NO❑ CITATION# CHARGE 0 BOTTOM STANDING } 7 14 ❑ UNIT Tr Vd IRE O CYDCLE OWNER YES AGE NOHRESHOLD MET PHONE El 35 PEDESTRIAN 15 LAST NAME FIRST NAME N DL ME AL ❑ 36 STREET 16Fl NEWAET [-% CITY ST ZIP CDL IGNITION REdUiR rD IGNITtGN PRESENT MEDICALTANSPORTED INTERLOCK YES No INTERLOCK YEs NO YEs NO ❑ 17 4 37 LICENSE# STATE SEX MMDDDYBYY -� II 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of 1NJURIEs 38 USE CLASS 19 ❑ LICENSE TAr VIN# 39 PLATE# 20 ❑ TRAILER' STATE TRAILER STATE ❑ 40 PLATE#< PLATE# 21 ❑ ❑ 41 TRLR TRLR VIN# YIN#i 42 22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TO DUET SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO_ SHADE IN DAMAGED 3 4 4 AREA F 43 z LIABILITY INSURANCE INSURANCE CO ' VINE EFFECT &POLICY# i 970P - 4 E:l 44 24 VEHICLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LECALLv STANDING 8 7 6 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. D.NELSON 03-01-24 08:18 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 OI BADGE 12421 O#I',WA0171300 APPROVED 3n/2024 PAGE F41 OF F 3000-345-013(R 11118) REPORT NO. EE56992 CASE# ' 24-2290 DATE AND TIME 03/01/24 18:16 OF COLLISION S , 1 t = w� Y i s ss „`:,.,, ,.,; ,q..., a.ya, a""34,U.;.,wu,s�'. �.,. "'S r ,;wx�i?`` ,. ;,' i.,..aia'S,i,:.. .. .k`.,v"sr,", x,` 4'";e°;'{`;.t' i'."a"� ,,�,ss.,r., eMMY0.J PAGE 5 OF 5