Report ., .
7 iii Building Division
Oregon State Mechanical Specialty Code Provision 507.16
TIGARD
COMMERCIAL KITCHEN HOOD
PERFORMANCE VERIFICATION
Mechanical Permit No.: ZOrV _CO ZD Z Jurisdiction:
ileC
Site Address: 7069 560 ilice.l7 E1.11D 1 YS-
Type of Hood: ® Type I Hood ❑ Type II Hood
Classification of Cooking Appliances: ❑ Extra Heavy Duty p Heavy Duty
❑ Medium Duty ❑ Light Duty
CFM of exhaust fan intake 10 minute test: Start of test: 3$z5 -
End of test: 36-x.4-/Z5-
Dimension of duct opening into hood: l9X (? re
Duct Velocity: /826 FPM
Length of Hood: 8 yZy
Amount of total makeup air provided for all hoods: 31(1?'Z- CFM
Signature: �� Date: 5" 3- .0/4/
Print name of person performing test: (f -4/ (47 c2
Print name of Contractor: (a) Sys 6eS cic,74)4 3 CCB #: /827/g
This form satisfies the requirements of Oregon State Mechanical Specialty Code provision 507.16. 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 the field testing and site verification of installation information.
This form shall be completed and submitted to the inspector prior to fmal inspection approval.
1'\Building\Forms\COM-KitchenHoodPerfVerifdoc 07/01/08
Hood, Mechanical and Ventilation
Caesar's Construction, LLC. DATE; 6 / 3 / 2014
CCB# 182918
Po Box 1231, Clackamas, OR 97015
Phone 503-734-4490
Fax 877-849-6232
hmvcontractors®gmail.corn
COMERCIAL KITCHEN HOOD
PERFORMANCE VERIFICATION
CITY OF Tigard
Mechanical permit Number: Mec2014-00202
Street Address: 9009 sw hall blvd 145
Type I Hood Type II Hood:
X_ Canopy Hood Non Canopy Hood
CFM of exhaust fan intake 10 min test: Start of test: 3825
End of test: 34425
Dimension of duct opening into hood: 19" x 19"
Velocity of exhaust in duct: 1826
Horizontal surface area of hood: 8424
Amount of makeup air provided: 3442 cfm,
,5ov /o/c z_ - 3 zolc/
Printed name /of person performing test Signature/Date
eSG(r S. Ens kt-,7[0 s /8 G 7 4
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
The field testing and site verification of installation information.
This form shall be completed and submitted to the inspector prior to final inspection
aprobal.
Thank you for your business!
Exhaust Baffle Filter CFM Worksheet for Shortridge VelGrid
Job Number=OLLS`
rev.4
Job Name= 13DF46(26.
Hood Number 1 Information
Model=4818SND2-PSP-F Length= 12Ilotes:
Filter#1 Filter#2 Filter#3 Filter#4 Filter#5 _ Filter#6 _ Filter#7 — Filter#8 _ Filter#9 Filter#10 Filter#11 Total CFM
Filter Size 16"x 20" 16"x 20" 5 16"x 20" 16"x 20" 7` 16"x 20" - 16"x 20" 16"x 20" 16"x 20" 16"x 20" TNo Filter I No Filter 1
Velocity 182 193 205 218 230 208 206 200 184
CFM 378 401 426 453 477 432 428 415 382 0 0 3791
Hood Number 2 Information
Model= Length= Notes:
Filter#1 Filter#2 Filter#3 Filter#4 Filter#5 Filter#6 Filter#7 _Filter#8 _ Filter#9 Filter#10 Filter#11 Total CFM
Filter Size No Filter No Filter No Filter 1 1 No Filter No Filter No Filter No Filter No Filter No Filter No Filter No Filter
Velocity
CFM 0 0 0 0 0 0 0 0 0 0 0 0
Hood Number 3 Information
Model- Length= Notes:
Filter#1 Filter#2 Filter#3 Filter#4 Filter#5 Filter#6 _ Filter#7 _ Filter#8 _ Filter#9 _ Filter#10 Filter#11 Total CFM
Filter Size No Filter No Filter No Filter No Filter No Filter No Filter No Filter No Filter No Filter No Filter No Filter
Velocity _
CFM 0 0 0 0 0 0 0 _ 0 0 0 0 0
Hood Number 4 Information
Model= Length= Notes:
Filter#1 Filter#2 Filter#3 Filter#4 _ Filter#5 Filter#6 Filter#7 Filter#8 Filter#9 Filter#10 Filter#11 Total CFM
Filter Size ,No Filter No Filter No Filter No Filter No Filter No Filter r No Filter TNo Filter .No Filter r,No Filter No Filter
Velocity
CFM 0 0 0 0 0 0 0 _ 0 0 0 _ 0 0
Total Exhaustt CFM's= 3791 CFM
a