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HomeMy WebLinkAbout26-2015 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG86100oc� RA COLLISION REPORT 1591971 INTERSTATE CITY STREET FIRE I CASE# 26-2015 2 RESULTED STOLENSTATE ROUTE OTHER VEHICLE LQCAI-A`NG 4100 3 HIT&RUN CODING COUNTY RD PRIVATE WAY ❑ INVOLVED 2❑ TRIBAL i UNITS TRUCK #OF 02 SO"" TRAFFIC SIGNAL POLE 1 1 8 28 i RESERVATION : 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# eaCL s o v' 03 - 13 - 2026 1750 17 =.[� S 8 W e OF 8 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ N 4TH ST BLOCK NO. e 400 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 �. FEET e S 8 W e WILLIAMS AVE N 0 1 29 MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:4254964713 2 0 30 5 LAST NAME LESMES FIRST NAME LUIS MIDDLE E 1 1 2 31 INITIAL STREET ] 4710 S 124TH ST 'NEW ADDRESS CITY I $EATTLE ST: WA ZIP: 98178 2 7 +CDL IGN(TIUN REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYES No,/ INTERLOCKyEs NO✓ YEs NO✓ 8❑ DCIENSE# STATE WA SEXI M MMDDYY' 10 — 25 — 1966 1 2 32 9 ON DUTY❑ STATUS' AIRBAG 6 RESTR 4 EJECT 1 HELMET 2 INJURY 6 NATURE of INJURIES 2 USE ,CLASS HEAD/NECK PAIN 10 LI ENSE BLE9365 STATE WA VIN#, 3N1AB6AP4CL608711 3 TRAI STATE TRAILER LE STATE 11 2 5 ,LATE# PLATE# FROM To TRLR TRLR 3 7 33 12 2 5 VIN#' VIN# FROM TO HICLE 13 1 VEH.YEAR 2012 MAKE NISS MODEL SENTRA STYLE $D VEHICLE TO YED NO fiS46LIN diW9YMEYER YESr`-IVT ENp✓ 3 7 34 DAMAGE IIII._IIII I_I REGISTERED OWNER INFO LUIS LESMES 4710S 124TH ST SEATTLEWA 98178 D:4254964713 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 1 LIABILITY INSURANCE INSURANCE CO 4 14 STATE FARM 435 6502 F23 47D IN EFFECT &POLICY# <5, TOPVEn" CHARGE 36 Lec Lr YES❑NO❑ CITATION# 0TFOM15 sTnNowc 6 EDAL- MOTOR ✓ P PEDESTRIAN PROPERTY DAM THR HONE OLD MET P UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ nWNFR YEs✓ No D:2062653345 16� LAST NAME JOHNSON FIRST NAME CAMI MIDDLE L INITIAL STREET ❑ 17 ❑ 27920 215TH PL SE CITY MAPLE VALLEY ST, WA ZIP 98038 q 37 NEW ADDRESS 1$❑ CDL IGNITION REQUIRED IGNI I iON PRESENT MEDICAL TRANSPORTED 38 INTERLOCKYEs No✓ INTERLOCK YES No✓ vEs No✓ 19 DRIVER'S STATE WA SEX F D.o.e. 03 04 1985 39 LICENSE# MMDDYY — 20❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 R USEET 2 CLASSY 1 NATURE OF INJURIES 40 21 LICENSE CCM8715 TATE WA VIN# 1GNKVJKD8EJ147448 41 22❑ PLAILER TE# STATE PLATE# STATE 42 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR 2014 MAKE CHEV MODEL TRAVERS STYLE UT VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES �/ No GENE MEYER vEs No✓ REGISTERED OWNER INFO CAMI JOHNSON 27920215TH PL SE MAPLE VALLEY WA 98038 D:2062653345 VEHICLE NO.2 SHADFY DAMAGED AREA 3 4 LIABILITY INSURANCE INSURANCECO STATE FARM 4077899 F2247B IN EFFECT &POLICY# 9TOP ­1— ❑ ,J—I CITATION11 CHARGE t080TTOM LEGALLY YES N 25 e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 JAREN JOKELA 12805 WA0171300 PAGE 01 OF PART A 3000-345-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG86100 COLLISION REPORT III III III III III 111 1591972 CASE# 26-2015 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) SAMUELSON JAY ADDRESS&PHONE 2068196541 SEXi M MpDDYBVYY PASSENGER WITNESS UNIT SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES 1:10 POS. USE CLASS ----� :NAME (LAST FIRST MIDDLE INITIAL) ADDRESS&PHONE# SEX MMDDYYYY D.O.B. — PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURE CFINJURIES POS. USE CLASS ----� :NAME (LOST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX MMDDYY D.O.B. YY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. I 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 03-13-26 07:33 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE N/COLAS SANGDER 11350 3/15/2026 11:24:21 PM BADGE OR ID# 12805 ORI# WA0171300 TIME POLICE DISPATCHED 5:52 PM TIME POLICE ARRIVED i 5:57 PM PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF F5 REPORT NO. EG86100 CASE# 26-2015 DATE OF COLLI r�510NN + 03/13/26 17:50 L1 NARRATIVE Renton Case #26-2015 On 03/13/2026 at 1752 hours I was dispatched to N 4th St/Williams Ave N, in the City of Renton, King County, Washington. I was responding to the call of an unknown injury two-car motor vehicle accident. This incident was captured on my body worn video camera. This report is a summation of events that occurred and is not an exact sequence of events. At approximately 1757 hours, I arrived on scene located both involved vehicles. Unit 1 vehicle was blocking westbound lanes of travel on N 4th ST, just west of Williams Ave N and Unit 2 was partially off the roadway on the northwest corner of the intersection and had collided with a traffic signal pole. I identified Unit 1 as a blue 2012 Nissan Sentra (WA LIC #BLE9365) being driven by the sole occupant, identified by his WA DOL photo as Luis E Lesmes (DOB 10/256/1966). 1 observed significant damage to the front of Unit 1 vehicle, with most of the impact affecting the front right of the vehicle. No vehicle airbags had been deployed. Unit 1 vehicle was later removed from the scene by Gene Meyers Towing. Unit 1 driver provided me with his WADL, registration and proof of insurance. I identified Unit 2 as a white 2014 Chevrolet Traverse (WA LIC #CCM8715) being driven by Unit 2 driver, identified by her WA DL as Cami L Johnson (DOB 03/04/1985). 1 observed significant damage to the front end of Unit 2 vehicle. As a result of the initial collision with Unit 1 vehicle, Unit 2 vehicle was pushed partially off the roadway causing it to strike a traffic signal pole (POLE #318130). No vehicle airbags had been deployed in Unit 2 vehicle. Renton Fire arrived on location and evaluated both involved drivers. Unit 2 driver did not make any complaints of pain and appeared to be uninjured. Unit 1 driver complained of head/neck/back pain and had minor swelling to the right side of his head. Unit 1 driver was later transported by Renton Fire to Valley Medical Center to receive additional medical treatment. Unit 2 driver stated that prior to the collision, she was traveling westbound on N 4th ST in the number 2 lane of travel, as she approached Williams Ave N. Just east of the intersection, Unit 2 driver stated that she was struck by Unit 1 vehicle, who was traveling in the number 3 lane of travel, causing her to lose control and crash into the traffic signal pole. Unit 1 driver stated that he was traveling westbound on N 4th St, when he was struck by Unit 2 vehicle who was also traveling westbound on N 4th St directly next to him. In speaking with a witness of the collision, verbally identified as Jay Samuelson, he stated that he observed Unit 2 vehicle traveling southbound on Williams Ave N and attempt to turn westbound onto N 4th St. In the process of turning onto N 4th St, Unit 2 collided with Unit 1 who was traveling westbound on N 4th St. After speaking with all involved parties/witness', all with differing recollections, it is unclear as to how the collision occurred and what was the proximate cause. I took photographs of both involved vehicles and the sustained vehicle damage. All photos were later uploaded to Axon Evidence. All parties involved were provided with a business card and case number. PAGE 3 OF 5 REPORT NO. EG86100 CASE# 26-2015 DATE OF COLLI r�510NN + 03/13/26 17:50 L1 NARRATIVE Both involved vehicles were removed from the scene by Gene Meyers Towing. I then cleared the scene. 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, 03/13/2026 at 1931 hours in Renton, Washington. PAGE 4 OF 5 REPORT NO. EG86100 CASE# 26-2015 DATE AND TIME 03/13/2617:50 OF COLLISION 3, �t t.. I t t`l S}br �S llS t ttit� 3 h� 3E sXF h i tl Y� a �,Z ix S � � 4 tY K t t L h a t � t t t su 1't 4" t t PAGE 5 OF 5