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HomeMy WebLinkAbout25-3308 ("7— STATECETRAFFicNREPORT NO. EF83241 5 127 ,one COLLISION REP F 1591971 CASE# 25-3308 2 INTERSTATE CITY STREET FIRE ❑ RESULTED STOLEN 1 1 STATE ROUTE OTHER VFHICI F LOCAL AGENCY 4200 3[� HIT 8 RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TRIBAL UN 75 TOTAL#OF STRUCK OBJECT 11 8 2$ RESERVATION 2 3 M M D D Y Y Y Y TIME I2400) COUNTY# MILES CITY# coAT sloN 04 - 12 - 2025 1854 17 a. e W 8 OF IN 8 1070 3 S 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ BLOCK NO. EASTVALLEYROAD MILEPOST T ❑ MILEPOST 8 4224 4a .� DISTANCE OF(REFERENCE OR CROSS STREET) 5 MILES❑ 452 00 FEET e✓ S e W 8 SOUTH 180TH ST OF11 29 MOTOR PEDAL- DAM ETHRESHOLD MET PHONE UNIT 01 VEHICLE CYCLE YEs ,/NO D:2538475763 0 11 30 6 LAST NAME FLORES FIRST NAME MICHELLE MIDDLE Y 1 2 31 INITIAL STREET E' 1333 17TH ST SE APT A CITY AUBURN WA NEW S7 ZIP 980026973 z EWADDRE 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 1NTERLOCKYEs NO INTERLOCK YES NO YES NO,/ 8❑ LDRIVE STATE WA SEX'F MM flYY 12 - 17 - 1971 1 2 32 9 ON DUTY STATUS AIRBAG 2 RESTR 2 EJECT 1 H5 E7 2INJURY 1 CLASS NATURE OF INJURIES 2 SE CMP5743 srnrE WA WIN#' JTEAAAAH8RJ172579 3 10 9❑ PI ATLA 11 3 5 PLATE# STATE TRAIPLATE# STATE ROMRA To TRLR TRLR.. 5 1 33 12 3 5 vIN#' VIN# FROM TO NO 13 $ VEH.YEAR2Q24 MAKE TOYT MODEL VENZA STYLE VEHICLDAMAGE TOWED FtjT02fBLIN TOWED BY GOVT.VEHIICL✓ 5 1 34 ❑ REGISTERED OWNER INFO MICHELLEFLORES 133317THSTSEAPTA AUBURN WA 98002 IL—llll VEHICLE cc NO. 'I11 SHADE IN DAMAGED AREA ❑ 35 LIABILITY INSURANCE INSURANCE CO ft 4 14 STA TE FARM IN EFFECT &POLICY# STOP _ VEHICLE YESCHARGE 5 ❑ 36 EGALI v [:]NO[:] CITATION# 10 ftOTTOM 15❑ sTAnowG 7 6 MOTOR � PEDAL- PROPERTY DAM THR OLD MET PHONE UNIT 02 ICJ ❑ PEDESTRIAN ❑ ❑ D:2067590455 VEHtLE CYCLE: OWNER YES NO 16F] LAST NAME BRANDT-JAMERSON FIRST NAME]RlSCHANNA MIDDLE L INITIAL 17 STREET El 5128 ALDRICH RD CITY BELLINGHAM I ST WA ZIP 982269636 37 NEW ADDRESS I I I ❑ 18❑ CDL IGNITION REQUIRED IGNITION pRESEIJT MEDfCALTRANSPORTE.D ❑ 38 W7ERLOCKves No INTERLOCkCvEs no ves No,� 19 DRIVER'# ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U SET 2 CLASSINJURYNATURE OF INJURIES 40 21❑ LICENSE,CMA1403 rAre,WA v)N# SALRRBBV3HA044395 ❑ 41 PLATE# TRAILER TRAILER ❑22 PLATE# STATE PLATE STATE 42 23 43 TRLR RLR VIN#. '[N#, GO HI 44 VEH.YEAR 2017 MAKE LNDR MODEL DISCOVE STYLE DAMIACLE GE TOWED NO✓O BLIN TOWED BY YES NO 24 YES REGISTERED OWNER INFO LLC LUXCAR 1001 ANDOVER PARKS TUKWILA WA 98188 VEHICLE NO.2 SHADE IN DAMAGAREA LIABILITY INSURANCE INSURANCE CO TRAVLERS 7 3 IN EFFECT &POLICY# t 4TOP Venice ❑ CE] CITATION# CHARGE 25 tOBOTTQM LEGALLY YES N J s 7 7DA 'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 DOUGHERTY 13183 WA0171300 PART A . PAGE 01 OF 9000-345-159(R 11(181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF83241 COLLISION REPORT III III III III III 111 1591972 CASE# 25-3308 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) '.NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE SEXi D.O.B. - MMDDYYYY PASSENGER❑WITNESS❑;UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURECFINJURIES POS. ' USE GLASS 1 ----� :NAME (LAST FIRST MIDDLE INITIAL) ADDRESS&PHONE# SEX D.O.B. - MMDDYYYY PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURECFINJURIES POS. USE 0,SS ----� :NAME (LOST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX MMDDYY D.O.B. YY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJU S' NATURE OF INJURIES ❑ ❑ POS. I USE GLASS 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 04-12-25 09:36 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE QUINT TIBEAU 07691 1 411612025 10:11:03 PM BADGE OR ID# j 13183 ORI# WA0171300 TIME POLICE DISPATCHED; 6:57 Pry/ TIME POLICE ARRIVED i 7:03 PM PART B 3000-345.160(R1Vt8) PAGE 0 OF 47 TIM REPORT NO. EF83241 CASE# 25-3308 OF COLLI ION 04/12/25 18:54 OF COLLISION NARRATIVE Case 25-3308 1 was working as a fully uniformed City of Renton Police Officer in a fully marked City of Renton Police Car as unit# 3R11 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 4/12/2025, at 1854 hours, I was dispatched to 4224 East Valley Road for a report of a two-vehicle collision that had occurred. The call notes read that it was a two-vehicle collision in the plot of the address, with no injuries and over $1,000 dollars' worth of damage. When I arrived, I contacted the driver 1 of unit 1 who was driving a red, 2024 Toyota Venza, bearing WA plate CMP5743. The driver, I identified through her WA drivers license, as Michelle Y Flores (DOB 12/17/1971). Michelle's Toyota had significant front-end damage, over $1,000 dollars. I took photos of the damage and later uploaded those photos to evidence.com. Michelle also had her three sons in the vehicle with her at the time of the collision, there was not any reported injuries. Michelle stated she had gotten distracted while driving northbound on East Valley Road, and rear- ended unit 2 as it was turning into the driveway of the SPOT Sports bar. spoke to the driver of unit 2 who was driving a white, 2017, Landrover Discovery, bearing WA plate CMA1403. The driver, I identified through her WA driver's license as Rischanna L Brandt-Jamerson (DOB 07/30/1991). Rischanna stated the vehicle she was driving was a TURO rental. Rischanna stated that she was driving northbound on East Valley Road and was rear ended by the other vehicle turning into the driveway of the SPOT sports bar. Rischanna had her husband and tow kids in the car as well, she also stated there was not any injuries. I completed a Sector Collison report and provided both Michelle and Rischanna with exchange of information sheets. Michelle's daughter arrived on scene to pick her up along with her children. Due to Michelle's vehicle possibly not being able to drive her vehicle was parked in the parking lot of the SPOT sports bar, after asking permission from bar staff to leave it there. Nothing further at this time. 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 04/12/2025 at 1721 hours, In the City of Renton, WA. PAGE 3 OF 4 REPORT NO. EF83241 CASE# 25-3308 DATE AND TIME 04/12/2518:54 OF COLLISION a F� 77 3� � i F b ti� t r Y 4 I� pp P � � J 4� PAGE 4 OF 4