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HomeMy WebLinkAbout24-12157 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EF42891 170
27
COLLISION REP FIT 1591971
CASE 24-12157 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 3 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS 03 STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
cowsloN 11 - 1-- 2024 1126 17 =-= S 8 IN 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 B VV e NE 3RD ST
2 0 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:4252601035 0 11
30
6 LAST NAME CANUL EK FIRSTNAME ELMER MIDDLE U 1 1 2 31
INITIAL
STREET ❑ 1430 154TH AVE NE#4502 CITY BELLEVUE ST WA Zjp, 98007 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 2 RESTR 9 EJECT 1 HELMETU E 2 CLASS 1 NATURE OF INJURIES z❑
3
10❑ PI ATFBit CMU1946 sTArI WA urN#' JHMZE2H54AS011740
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM ro
TRLR. TRLR 1 3 33
12 3 5 VIN#' VIN#
<:.. FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TR Y GOVT.VEHICLE 1 3 34
13 4 2010 HOND INSIGHT DAMAGE YES NO �MEYERS YES❑ NO✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 LIABILITY INSURANCE INSURANCE CO BRISTOL WEST G01514919400 3 4
IN EFFECT &POLICY# 9TOP
VEHICLE CHARGE 1 5 36
LEGALLY YES❑NO❑ CITATION# 10 BOTTOM
15❑ STANDING
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES NO ,/ D:4258770457
16 a
LAST NAME DEAGWAR FIRST NAME WESLEY MIDDLE M
INITIAL
17❑ NEW STREETREs7 24832 SE 208TH ST CITY MAPLE VALLEY ST WA ZIP 98038 4❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL-T�RANSPORTED � 38
INTERLOCK YEs❑No� INTERLOCK YEs It I NOF YES
t l NOF,/
19 LDI IVER # STATE WA SEX M M D.C.B. 12 _ 14 1980 39
20❑ ON DUTY STATUS I
AIRBAG 2 RESTR 9 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES ❑ 40
❑21❑ 41
ILICENSE PLA E# D08754F TArE WA VIN# 1GT49YEYXRF410318 1
42
22❑ PLATE# STATE PLATE#ILER STATE
TRLR
23❑ VIN#. IN#. 43
RLR
'
VEH YEAR 2024 MAKE GMC MODEL SIERRA STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO WESLEY DE AGUTAR 24832 SE 208TH ST MAPLE VALLEY WA 98038 D:4258770457 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE INSU&PORGY#E CO AMGUARD AGAU522736IN 1--E ❑ ,J� CITATION# CHARGE25 GQI
LEGALLY YES N`L J
s � a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
MI 11AM LONG 7 12790 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF42891
COLLISION REPORT III III III III III 111
1591972 CASE# 24-12157
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) CAUL COOL JORGE G
(I.P.ST FIRST,
ADDRESS&PHONE# D O.B. '
4715 148TH AVE NE#FF302 BELLEVUE WA 98007 SEX M MMDOYyry 01 - 21 - 1986
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELv1ET INJURY NATURE OF INJURIES
❑✓ 1 POS, 3 2 9 1 USE 2 CLASS +1
NAME
(LAST,FIRST,MIDDLE INITIAL) CHABLE PECH ANGEL E
ADDRESS&PHONE# D O B
13831 NE 8TH ST#76 BELLEVUE WA 98005 SEX M MMDDYYYv 12 _ 05 _ 1998
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER WITNESS UNIT# 1 POS 11 AIRBAG 2 RESTR. 9 EJECT 1 USE 1 2 CLASS 1
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&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.
MIRIAM LONG 11-24-24 02:13 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
S.WOODWARD 11528 1 12/6/2024 2:37:35 AM
BADGE OR ID# 12790 ORI# WA0171300 TIME POLICE DISPATCHED; 11:31 AM TIME POLICE ARRIVED]11:32 AM
PART I PAGE IT]OF
REPORT NO. EF42891 CASE# 24-12157 OF COLLISION
11/24/24 11:26
OF CbLLI510N
NARRATIVE
On 11/24/2024 at approximately 1131 hours, I was dispatched to an unknown-if-injury vehicle
collision at the intersection of Sunset Blvd N and NE 3rd St, within the City Limits of Renton, County
of King, State of Washington.
Upon my arrival, 1 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 up to the collision.
I contacted the driver of Unit#1. Due to a language barrier, I used a translator to interpret his
summary of events. The driver of Unit#1 said he and his two adult passengers were traveling south
on Sunset BLVD N when he attempted to pull into the left turn lane and collided with Unit#2, who
was already in the left turn lane. He admitted to being the cause of the collision.
The driver of Unit#2 said he was the sole occupant of his vehicle and was also traveling south on
Sunset BLVD S in the left turn lane. He said when the left turn light turned green, he proceeded to
move forward and that is when he heard a loud noise. The driver of Unit#2 said he did not see
anything until he got out of his vehicle and observed Unit#1 into the passenger side of his vehicle.
An independent witness, verbally identified as Melissa I Velmontez (DOB 2/17/1983), remained at the
scene. Melissa confirmed the above statements claiming that Unit#1 attempted to changed lanes in
front of Unit#2.
Based on the above statements, 1 determined that the Driver of Unit#1 (Elmer) is the proximate
cause for the cause of collision as Elmer 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. Elmer made a lane
change into Unit#2's lane of travel which had the right of way and was underway. Elmer did not
ensure that traffic in the left turn lane was clear of hazard before making the unsafe lane change.
I gave the driver of Unit#2 a verbal warning for Improper Lane Usage causing a collision.
Unit#1 required a tow due to the fact that it was blocking the roadway and had extensive damage.
Gene Meyers responded to the location and privately towed Unit#1. An exchange of information was
provided to all involved parties.
My involvement in this case was captured on my department-issued Axon body camera. This report is
a summary of events that occurred and is not an exact sequencing of events. Statements have been
paraphrased and summarized.
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 M Long#12790 on 11/24/2024 @ 1404 hours in Renton WA.
PAGE 3 OF 5
SUPPLEMENTAL REPORT NO. EF42891
r`I POLICE TRAFFIC 1 27
COLLISION REPORT CASE# 24-12157
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G
UNIT'# USL70r ICC# VEHICLE TYPE CARGO BODY
TYPE
2 ❑ 1 28
CARRIER
NAME
3 CARRIER
ADDRESS `
CITY ST' ZIP'
4 ❑ NAME # PLACARD: :❑
GI NAME IF NO NUMBER
SOURCE AXLES +
4a ❑ ADDITIONAL UNITS
MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE
5 ❑ UNIT# 3 VEHICLE I_J CYCLE u PEDESTRIAN � OWNER � YEs IN
MIDDLE' 29
LAST NAME AGUTAR PAVERS LLC FIRST NAME , INITIAL
STREET 30
NEW AnnRFSP 1 24832 SE 208TH ST CITY MAPLE VALLEY ST WA ZIP 1 98038
6
CDL GNITIttN REQUIRED GNITION PRESENT MEDICAL TANSPORTED 1 31
INTERLOCK YEs No zERLOCK YES❑N0[:] YEs N
DRIVER'S STATE I SEX X M��DYSYv' -� 2
LICENSE
7
ON DUTY STATUS AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
F�
USE CLASS
8 ❑ ' 1 32
LICENSE+ rar V1N.#
PLATE#
9 TRAILER TRAILER
PLATE# STATE PLATE# STATE
10 ❑ TRLR TRLR
VIN.#. VIN.#.
11 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWS T SABLIN TOWED BY anvi vEHIC E FROM TO
DAMAGE Y E ES NO YES NO
REGISTERED OWNER INFO. m 33
12 SHADE IN DAMAGED AREA
FROM TO
IIABiLITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# tGQ
EHILLE 34
13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE
STANDING } 8 7 6
14 ❑ UNIT Tr Vd IRE O CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35
PEDESTRIAN
15 LAST NAME FIRST NAME MIDDLE': INITIAL ❑ 36
STREET
16 NEW AnnREs.� CITY'. ST ZIP
CDL IGNITION REdUiRED IGNITION PRESENT MEDICALTANSPORTED
INTERLOCK YES No INTERLOCK YEs NO YEs NO El
17 37
LICENSE# STATE SEX MMDDDYBYY
18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38
USE ICLASS
19 ❑ vIN 39
LICENSE #
PLATE# rnr
20 ❑ TRAILER TRAILER ❑ 40
PLATE# STATE PLATE# STATE
21 ❑ TRLR TRLR 41
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 AREA 43
3 4 71
LIABILITY INSURANCE INSURANCE CO '
VEHICLE
EFFECT &POLICY# I 970P - 4 44
24 LEwGLE YES NO❑ CITATION# CHARGE iq 60TiOM
E:l
C=DLv
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.
MIRIAM LONG 11-24-24 02:13 PM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
26 OI BADGE 12790 O#II,WA0171300 APPROVED BY
12%6/2024 PAGE�OF F
3000-345-013(R 11118)
REPORT NO. EF42891 CASE# ' 24-12157 DATE AND TIME 11/24/24 11:26
OF COLLISION
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PAGE 5 OF 5