Report City of Portland
Bureau of Development Services
1900 SW 4 Ave. #5000
Portland, Oregon 97201
503- 823 -7303
COMMERCIAL KITCHEN HOOD PERFORMANCE
VERIFICATION
Mechanical Permit Number: 4f oz-d 9
Street Address: lt ‘/Atir � V/4
Type I Hood: Type II Hood:
Canopy Hood: v Non -Canopy Hood:
CFM of exhaust fan intake: ,���/,^ L i ri 7 ✓'r0l/.)
Dimensions of duct opening into hood: /6/ 1/ (/,;0)
Velocity of exhaust in duct: �% # /7 1,1 Z
Horizontal surface area of hood: /01.X a Sq.Ft.
Printed name of person performing test Signature /Date
NEUDORFER ENGINEERS, INC. NEUDOE1164
Contractor Name 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 left at the
jobsite prior to final inspection approval.