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
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