Report COMMERCIAL KITCHEN HOOD
PERFORMANCE VERIFICATION
Cit of Portland
Office of Planning and Development Review
1900 S.W. 4 Ave
Portland, Oregon 97201 /073 s pt/ /30 r
Mechanical Permit Number: i''E C O \(Y C0
Street Address:_\9 "OJ Sig.) SLID o\ - cec *►t ii,,id∎. -- 9-1 72:3
Type I Hood Type II Hood
)� Canopy Hood Non - Canopy Hood
CFM of exhaust f a n intake: 2 ) 5 3 c..
Dimension of duct opening into hood: 14 y
Velocity of exhaust in duct:. \ )LV L\ .? . .
Horizontal surface area of hood: y 2 Sq. Ft.
g oi
e .
Printed name of person performing test Signature/Date
02- 088 -01
V\C P`Cd.rA/r. is _ Z.0 44 V im•
Contractor•ame CCB#
This form satisfies the requirements of Oregon State Mechanical Specialty
Code provision 507.17. All information given on this sheet shall be
provided by the installing contractor or air balancing agency if applicable.
Information given shall be obtained by field testing and site verification of
installation information.
This form shall be completed and submitted to
the inspector prior to final inspection approval
C:\My Documents \COMMERCIAL KITCHEN HOOD.doc