HomeMy WebLinkAbout26-3355 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 2 27c
COLLISION REP FIT 1591971
CASE 26-3355 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
z
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
cowsloN 04 - 1-- 2026 1715 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
SHATTUCK AVE S BLOCK NO. e✓ 300 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ VV e S 3RD PL
0 5 29
MOTOR PEDAL- DAMAGE THRESHOLDHONE
UNIT 01 VEHICLE ❑ CYCLE El MET P
YES
�/No D:2064240445 0 11
30
6� LAST NAME BOSS FIRSTNAME CYNTHIA MIDDLE C 1 1 2 31
INITIAL
STREET ❑ 922 S 3RD ST APT 10 CITY RENTON ST WA 21p 98057 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO 1/ INTERLOCKYEs NO Z/ YES R No�/
8❑ LRIIVERS STATE WA SEX'F MM DAY' 12 1- 27 - 1976 1 2 32
CENSE 9 ON DUTY❑ STATUS AIRBAG 4 RESTR 4 EJECT 1 H USE 2 1 CLASS NATURE OF INJURIES z❑
3
LICENSE CMP5533 STATE WA uN# WAUK8GFFXG1052906
10 9❑ Pr ATE�
11[-j- TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# IR.. ro
TRLR. TRLR. 5 5 33
12 3 5 VIN#j VIN#'
FROM TO
VEH.YEAR 2016 MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 1 5 34
13 4 AUDI A3 SD DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
❑
SHADE IN DAMAGED AREA ❑ 35
14 LIABILI INSURANCE❑ INSURANCE CO 3 4
IN EFFECT &POLICY# 9TOP
VE"'C' CHARGE 1 5 36
LEGALLY YES❑NO❑ CITATION# 10 BOTTOM
15❑ STANDING
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2064588337
16 a
LAST NAME CALAMIONG FIRST NAME KELVIN MIDDLE D
INITIAL
17 STREET❑ NEW ADOREss❑' 13649 26TH PL S CITY SEATAC ST WA ZIP 98168 37
18❑ CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL-T�RANSPORTED � 38
INTERLOCKYES�NO� INTERLOCK YEs It I NOF YES
t l NOF,/
19 LDI IVE STATE WA SEX M M .C... 09 _ 22 _ 1990 39
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES ❑ 40
❑ 41
21❑ ILICENSE PLA E# AZD0870 TATE WA VIN# 1HGCR2F35DA068490 1
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ VIN#. IN#. 43
RLR
'
TOWED BY Gov HI 44
VEH YEAR 2013 MAKE HOND MODEL ACCORD STYLE $D DAMAGE TOWED NOO✓ BLIN YES NO 1/
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE INSU&PORGY#E CO GEIC04488-87-09-00IN 9TOP 5
VEHICLE YES[:] ,.I—I CITATION# CHARGE io BOTTOM
LEGALLY N
25 e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
JAREN JOKELA 12805 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG98909
COLLISION REPORT III III III III III 111
1591972 CASE# 26-3355
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.
JAREN JOKELA 04-30-26 06:39 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
NICOLAS SANGDER 11350 1 4/30/2026 8:45:14 PM
BADGE OR ID# 12805 OR]# ! WA0171300 TIME POLICE DISPATCHED; 5:17 PM TIME POLICE ARRIVED]5:21 PM
PART I PAGE IT]OF 5�
REPORT NO. EG98909 CASE# 26-3355 OF COLLISION
04/30/26 17:15
OF CbLLI510N
NARRATIVE
Renton Case #26-3355
On 04/30/2026 at 1717 hours I was dispatched to the intersection of Shattuck Ave S/S 3rd Place, in
the City of Renton, King County, Washington. I was responding to a call of an unknown injury
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 1721 hours, I arrived on scene located the two involved vehicles. Unit 1 vehicle was
sitting in the middle of the above referenced intersection, and Unit 2 vehicle was pulled over to the
shoulder just south of the intersection.
As Unit 1 driver was still located inside the vehicle upon my arrival, with multiple vehicle side airbags
deployed, I tended to her until the arrival of Renton Fire a short time later.
I identified Unit 1 as a black 2016 Audi A3 (WA LIC #CMP5533) being driven by the registered owner
of the vehicle, identified by her WA DL as Cynthia C Boss (DOB 12/27/1976).
After being evaluated for potential injuries by Renton Fire, I spoke with Unit 1 driver. Unit 1 driver
stated she was traveling southbound on Shattuck Ave S when she attempted to make a left hand
(eastbound) turn. While in the process of turning, Unit 1 driver said that she was struck in the driver
side by Unit 2 vehicle.
It should be noted, in the area where the collision occurred there is no left hand (eastbound) turn from
Shattuck Ave S.
I observed damage to both driver side doors to Unit 1 vehicle.
Unit 1 driver advised that she did not have valid vehicle insurance.
I identified Unit 2 as a silver 2013 Honda Accord (WA LIC #AZD0870) being driven by the registered
owner of the vheicle, identified by his WA DL as Kelvin D Calamiong (DOB 09/22/1990).
Unit 2 driver told me he was not injured. Unit 2 driver said that he was traveling south on Shattuck
Ave S from S 3rd St. As he traveled southbound, Unit 1 vehicle was also traveling southbound
directly in front of him. As both vehicles approached S 3rd Place, Unit 2 driver said that Unit 1 vehicle
briefly turned westbound onto S 3rd Place, before quickly attempting a U-Turn -attempting to proceed
back northbound on Shattuck Ave S. As a result of the improper U-turn, Unit 2 driver said that he did
not have enough time to stop before colliding with the driver side of Unit 1 vehicle.
I observed significant damage to the front bumper of Unit 2 vehicle.
Unit 2 driver provided me with his WA DL, registration and vehicle insurance.
Based on the statements made by both involved, the observed vehicle damage was consistent with
the accounts provided by Unit 2 driver.
No independent third party witness' were located.
After being medically evaluated by Renton Fire, Unit 1 driver was given a courtesy transport by
Renton Fire to her nearby residence. Renton Fire also removed Unit 1 vehicle from the scene and
delivered it to her residence.
PAGE 3 OF 5
REPORT NO. EG98909 CASE# 26-3355 OF COLLISION
04/30/26 17:15
OF CbLLI510N
NARRATIVE
Photographs were taken of both vehicles at the scene, along with the sustained vehicle damage to
each unit. All photos were later uploaded to Axon Evidence.
I provided each involved unit with a business card, case number and answered their remaining
questions.
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, 04/30/2026 at 1838 hours in Renton, Washington.
PAGE 4 OF 5
REPORT NO. EG98909 CASE# ' 26-3355 DATE AND TIME 04/30/26 17:15
OF COLLISION
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