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					                                                                                                                                                                                                               Rockville Green Building Program




                                    City of Rockville
                                    Commercial Green Building Checklist
                                    Core and Shell (based on LEED® 2009 version)

                                   Project Name:                                                                                                                                     LEED AP Name:
                                 Project Address:                                                                                                                                 LEED AP Signature:
                                                                                                                                                                               Green Building Case #: GRB -

This checklist is designed to support the compliance of commercial projects with Rockville's Green Building Regulations, Article XIV of Chapter 5 of the City Code, "Buildings and Building Regulations".
Inspections and verification of LEED points will be administered by the City throughout development plan review (via DRC), building plan review (via ISD), and construction field inspection.
Per Section 5-324, projects must achieve at least 25 points with at least 5 points earned from a list of Rockville priority credits (identified by *).

                                                                                                                        Total Points Attempted (25 pts required) =                      0
                                                                                                                     * Total Rockville Priority Points (5 required) =                   0

   Submittal         Responsible                                                                                                                                                                                          City Staff
                                                                                                                                                                                            Applicant
    Phase               Party                                                   Credit Name and Required Submittal Documentation                                                                                        Approval Date
 Development Plan                                                                                                                                                       Points
                       Owner/        Credit Number                                                                                                                                                Enter
    Review or                                                                                                                                                          Available
 Construction Plan   Design Team/                      (Documentation to be submitted during Development Plan Review or Building Construction Plan Review)                          Enter Points Submittal                            Final
      Review          Contractor                                                                                                                                                   Attempted (#)   Date      Planning       ISD    Inspection
SUSTAINABLE SITES                                                                                                                                                        28             0
        D              O or DT        SS Credit 1    Site Selection                                                                                                        1
                                                     Exhibit confirming that project has met the following requirements: Not on prime farmland; not on previously                  Notes:
                                                     undeveloped land that is below 5 feet above the 100 year flood elevation per FEMA; not on habitat for any
                                                     endangered or critical species; not within 100 feet of any wetlands; not within 50 feet of water body; and not
                                                     on public parkland.
        D              O or DT        SS Credit 2    Development Density and Community Connectivity                                                                        5
                                                                                                                                                                                   Notes:
                                                     Option 1: Development Density- include an exhibit showing the site, adjacent buildings, and the development
                                                     density radius. Calculate the development density for the project by dividing the total square footage of the
                                                     buildings by the total site area in acres. The development density must be 60,000 sq.ft. or more per acre.
                                                     Calculate the density radius and then the average property density within the density boundary.

                                                     Option 2: Community Connectivity- include an exhibit with an aerial photo of a 1/2 mile radius around the
                                                     building entrance and the location of 10 basic services. List each business name and type for service. Show
                                                     residential zone or neighborhood near building with a minimum density of 10 units per acre.
       D/C             O or DT        SS Credit 3    Brownfield Redevelopment                                                                                              1
                                                     Provide verification from the Maryland Department of the Environment that the site was a brownfield site and                  Notes:
                                                     mitigation was completed in accordance with State and Federal regulations.
        D              O or DT       SS Credit 4.1   Alternative Transportation - Public Transportation Access                                                             6
                                                     Option 1: Provide an exhibit that illustrates the main building entrance is within 1/2 mile walking distance                  Notes:
                                                     from commuter rail (Metro).
                                                     Option 2: Provide an exhibit that illustrates the main building entrance is within 1/4 mile walking distance of
                                                     1 or more stops for 2 public bus lines.




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   Submittal          Responsible                                                                                                                                                                                            City Staff
                                                                                                                                                                                               Applicant
    Phase                Party                                                      Credit Name and Required Submittal Documentation                                                                                       Approval Date
 Development Plan                                                                                                                                                          Points
                        Owner/          Credit Number                                                                                                                                                Enter
    Review or                                                                                                                                                             Available
 Construction Plan    Design Team/                          (Documentation to be submitted during Development Plan Review or Building Construction Plan Review)                        Enter Points Submittal                            Final
      Review           Contractor                                                                                                                                                     Attempted (#)   Date      Planning       ISD    Inspection
        D               O or DT          SS Credit 4.2   Alternative Transportation - Bicycle Storage & Changing Rooms                                                        2
                                                                                                                                                                                      Notes:
                                                         Commercial or Institutional Projects 300,000 square feet or less: Provide an exhibit with bicycle racks for
                                                         3% of more of building users within 200 yards of building entries and a floor plan showing the location of
                                                         changing rooms and showers for 0.5% of the FTE within 200 yards of the building entrance.
                                                         Commercial or Institutional Projects Larger than 300,000 square feet: Provide an exhibit with bicycle
                                                         racks for 3% of occupants for up to 300,000 sf, then an additional 0.5% for the occupants for the space over
                                                         300,000 FF. Provide a floor plan showing the location of changing rooms and showers for 0.5% of the FTE
                                                         within 200 yards of the building entrance.
                                                         Residential Projects: Provide an exhibit showing the location and specs for covered storage facilities for
                                                         securing bicycles for 15% of building occupants.
        D               O or DT          SS Credit 4.3   Alternative Transportation - Low Emission and Fuel Efficient Vehicles                                                3
                                                         Site plan with narrative and supporting information (FTE, locations, etc.) for one of the following :                        Notes:
                                                         Option 1: Provide preferred parking for low-emitting and fuel efficient vehicles for 5% of the total vehicle
                                                         parking capacity of the site.
                                                         Option 2: Install alternative-fuel refueling stations for 3% of total vehicle parking capacity of the site.
        D               O or DT          SS Credit 4.4   Alternative Transportation - Parking Capacity                                                                        2
                                                         An exhibit and narrative with supporting information (# FTE, locations, etc.) for one of the following:                      Notes:
                                                         Non-Residential Option 1: Do not exceed local parking requirements. Provide location and number of
                                                         preferred carpool parking for 5% of total parking spaces.
                                                         Non-Residential Option 2: Provide parking for less than 3% of FTE building occupants and van pool or
                                                         carpool parking (marked as such) for 3% of total parking spaces.
                                                         Residential Option 1: Do not exceed local parking codes and support programs such as car-share and side-
                                                         share services.
                                                         Mixed Use Option 1: Mixed-use buildings with less than 10% commercial area must adhere to residential
                                                         requirements. for mixed-use buildings with more than 10% commercial area, the residential area must
                                                         adhere to the residential requirements and the commercial area must adhere to non-residential requirements.
                                                        Option for ALL Projects: Provide no new parking.
        D            DT (Civil or LA)   * SS Credit 5.1 Site Development - Protect or Restore Habitat                                                                         1
                                                        Exhibit showing the locations and areas of the building, grading, boundaries, and pervious development that                   Notes:
                                                        meet one of the following requirements:
                                                        Greenfield site: Limit all site disturbances to 40 ft beyond building perimeters; 10 ft beyond surface parking,
                                                        walkways, patios and utilities less than 12 inches in diameter; 15 ft beyond primary roadway curbs and utility
                                                        trenches; 25 ft beyond constructed areas with permeable surfaces, stormwater detention facilities, and
                                                        playing fields.
                                                        Previous developed sites: Restore or protect a minimum of 50% of the site landscaped area with native
                                                        vegetation or 20% of the total site area (including building footprint).
        D            DT (Civil or LA)   * SS Credit 5.2 Site Development - Maximize Open Space                                                                                1
                                                        Exhibit showing the locations and areas that meet one of the following requirements:
                                                        Local code has open space requirements: Open space should exceed the local code by 25%.                                       Notes:
                                                        No local zoning requirement: Open space is equal to building footprint.
                                                        Local zoning ordinance but no open space requirements: provide vegetated open space equal to 20%
                                                        of the project's area.




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   Submittal          Responsible                                                                                                                                                                                            City Staff
                                                                                                                                                                                               Applicant
    Phase                Party                                                     Credit Name and Required Submittal Documentation                                                                                        Approval Date
 Development Plan                                                                                                                                                          Points
                        Owner/          Credit Number                                                                                                                                                Enter
    Review or                                                                                                                                                             Available
 Construction Plan    Design Team/                         (Documentation to be submitted during Development Plan Review or Building Construction Plan Review)                         Enter Points Submittal                            Final
      Review           Contractor                                                                                                                                                     Attempted (#)   Date      Planning       ISD    Inspection
        D            DT (Civil or LA)   * SS Credit 6.1 Stormwater Design - Quantity Control                                                                                  1
                                                        Sites with existing imperviousness 50% or less                                                                                Notes:
                                                        Option 1: As part of the SWM plan submission, verify that the post-development peak discharge rate and
                                                        quantity does not exceed the pre-development peak discharge rate and quantity for the 1 and 2-year and 24-
                                                        hour design storms.
                                                        Option 2: As part of the SWM plan submission, include stream channel protection and quantity control
                                                        strategies that protect receiving stream channels from excessive erosion.
                                                        Sites with existing imperviousness greater than 50%
                                                        As part of the SWM plan submission, verify that the plan results in a 25% decrease in the volume of
                                                        stormwater runoff from the 2-year 24-hour design storm.
        D            DT (Civil or LA)   * SS Credit 6.2 Stormwater Design - Quality Control                                                                                   1
                                                         As part of the SWM plan submission, verify that stormwater runoff from 90% of the average annual rainfall is                 Notes:
                                                         captured or treated such that 80% of the average annual post-development total suspended solids is
                                                         removed. For non-structural controls, list BMPs and describe the contribution of each to stormwater filtration
                                                         and the percent of annual rainfall treated by each BMP. For structural controls, list the pollutant removal
                                                         performance of each measure and the percentage of annual rainfall treated by each structure.
        D                  DT           * SS Credit 7.1 Heat Island Effect - Non-Roof                                                                                         1
                                                        Exhibit showing the locations and areas that meet one of the following options:                                               Notes:
                                                        Option 1: Provide any combination of the following for 50% of site hardscape (including roads, sidewalks,
                                                        courtyards & parking):
                                                        a. Shade from landscaping (within 5 years of occupancy)
                                                        b. Shade from structures covered by solar panels
                                                        c. Shade from architectural devices or structures with a SRI of at least 29.
                                                        b. Hardscape materials with a SRI of at least 29.
                                                        c. Open grid pavement system (at least 50% impervious)
                                                        Option 2: Site plan that shows 50% of parking is covered or in a parking garage. Roof used to cover parking
                                                        must have a SRI of at least 29, be vegetated, or covered with solar panels.
       D/C           DT (Architect)     * SS Credit 7.2 Heat Island Effect - Roof                                                                                             1
                                                        Roof drawings and SWM plans identify roof products, areas, SRI values, and slopes that meet one of the                        Notes:
                                                        following options:
                                                        Option 1: 75% of roof materials to be:
                                                        SRI 78 for a low sloped roof (= < than 2:12); or
                                                        SRI 29 for a steep sloped roof (> than 2:12)
                                                        Option 2: Vegetated roof covers 50% of roof area.
                                                        Option 3: Combination of 1&2 (Area of SRI roof/0.75) + (Area of vegetated roof/.05) is greater than total roof
                                                        area
       D/C                 DT             SS Credit 8   Light Pollution Reduction                                                                                             1
                                                        Project complies with 1 of the 2 options for interior lighting AND the requirements for exterior lighting.                    Notes:
                                                                                                COMPLETE TEMPLATE SS C8
        C                  DT             SS Credit 9 Tenant Design and Construction Guidelines                                                                               1
                                                         Submit an illustrated Tenant Design and Construction Guidelines document that provides tenants with the                      Notes:
                                                         following design and construction information:
                                                         - Description of the sustainable design and construction features;
                                                         - Information on LEED for Commercial Interiors and how the core and shell building contributes to achieving
                                                         these credits;
                                                         - Information that enables the tenant to coordinate space design and construction with the core and shell's
                                                         building systems. Including specific information on water use reduction, optimize energy performance
                                                         (lighting power, lighting controls, HVAC), energy use and metering, measurement and verification, ventilation
                                                         and outdoor air delivery, construction indoor air quality management, indoor chemical and pollutant source
                                                         control, controllability of systems, thermal comfort, daylighting and views, commissioning, and elimination or
                                                         control of environmental tobacco smoke; and
                                                         - Recommendations for sustainable strategies, products, materials, and services.




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   Submittal         Responsible                                                                                                                                                                                           City Staff
                                                                                                                                                                                             Applicant
    Phase               Party                                                  Credit Name and Required Submittal Documentation                                                                                          Approval Date
 Development Plan                                                                                                                                                        Points
                       Owner/       Credit Number                                                                                                                                                  Enter
    Review or                                                                                                                                                           Available
 Construction Plan   Design Team/                     (Documentation to be submitted during Development Plan Review or Building Construction Plan Review)                            Enter Points Submittal                            Final
      Review          Contractor                                                                                                                                                    Attempted (#)   Date      Planning       ISD    Inspection

WATER EFFICIENCY                                                                                                                                                          10             0
        D              DT (LA)       WE Credit 1  Water Efficient Landscaping                                                                                              2-4
                                                  Option 1: Reduce by 50%                                                                                                   2       Notes:
                                                  Option 2: No potable water Used for irrigation                                                                            4
                                                                                      COMPLETE TEMPLATE WE C1
        C             DT (MEP)      * WE Credit 2 Innovative Wastewater Technologies                                                                                        2
                                                  Option 1: Reduce potable water use for building sewage conveyance by 50%.                                                         Notes:
                                                  Option 2: Treat 50% of wastewater on-site
                                                                                      COMPLETE TEMPLATE WE C2
        C             DT (MEP)      * WE Credit 3 Water Use Reduction                                                                                                      2-4
                                                  Reduce by 30%                                                                                                             2       Notes:
                                                  Reduce by 35%                                                                                                             3
                                                  Reduce by 40%                                                                                                             4
                                                                                      COMPLETE TEMPLATE WE C3
ENERGY & ATMOSPHERE                                                                                                                                                       37             0
        C             DT (MEP)      * EA Credit 1   Optimize Energy Performance                                                                                           3-21
                                                    Option 1: Whole Building Energy Simulation Model demonstrating percentage improvement compared to                               Notes:
                                                                                                                                                                          3-21
                                                    ANSI/ASHRAE/IESNA Standard 90.1-2007 (with errata but without addenda)
                                                    Option 2: Demonstrate compliance with Prescriptive Compliance Path (ASHRAE Advanced Energy Design
                                                    Guide)                                                                                                                  1
                                                    Option 3: Demonstrate compliance with Prescriptive Compliance Path: Advanced Buildings Core
                                                                                                                                                                           1-3
                                                    Performance Guide
        C             DT (MEP)      * EA Credit 2   On-Site Renewable Energy                                                                                                4
                                                    Provide documentation that on-site renewable energy systems offset building energy use costs by 1%.                             Notes:
                                                    Renewable energy systems include solar thermal, photovoltaic, wind, biofuel-based electric, geothermal
                                                    heating or electric (not ground-source heat pumps).
        C             DT (CxA)       EA Credit 3    Enhanced Commissioning                                                                                                  2
                                                    The Commissioning Agent (CxA) provides documentation that the commissioning process meets the                                   Notes:
                                                    necessary requirements and milestones for the following energy related systems: HVAC&R, lighting and
                                                    daylight controls, domestic hot water, renewable energy systems.
                                                    NOTE: If this credit is used to meet the 25 points required by Article XIV, Green Building Regulations, then
                                                    commissioning must be completed prior to receiving OCCUPANCY APPROVAL from the City of
                                                    Rockville Inspection Services Division.
        C             DT (MEP)       EA Credit 4    Enhanced Refrigerant Management                                                                                         2
                                                    Option 1: Demonstrate that refrigerants are not used.                                                                           Notes:
                                                    Option 2: Demonstrate that refrigerants and HVAC&R minimize or eliminate the emission of CFC's or
                                                    HCFC's. Total refrigerant impact per ton is equal to or less than 100.
                                                    Do not operate or install fire suppression systems that contain ozone-depleting substances, such as CFCs,
                                                    HCFCs, or halons.
        C             DT (MEP)      EA Credit 5.1   Measurement & Verification- Base Building                                                                               3
                                                                                                                                                                                    Notes:
                                                    Option 1: Develop and implement a measurement and verification (M&V) plan consistent with IPMVP Option
                                                    D: Calibrated Simulation (Savings Estimation Method 2). The document should include a description of the
                                                    infrastructure design, existing meter locations, existing meter specifications, 1-line electrical schematics
                                                    identifying end-use circuits, and guidelines for carrying out tenant sub-metering.
                                                    Option 2: Develop and implement a measurement and verification (M&V) plan consistent with IPMVP Option
                                                    B: Energy Conservation Measure Isolation. The document should include a description of the infrastructure
                                                    design, existing meter locations, existing meter specifications, 1-line electrical schematics identifying end-use
                                                    circuits, and guidelines for carrying out tenant sub-metering.




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   Submittal         Responsible                                                                                                                                                                                             City Staff
                                                                                                                                                                                               Applicant
    Phase               Party                                                    Credit Name and Required Submittal Documentation                                                                                          Approval Date
 Development Plan                                                                                                                                                          Points
                       Owner/         Credit Number                                                                                                                                                  Enter
    Review or                                                                                                                                                             Available
 Construction Plan   Design Team/                       (Documentation to be submitted during Development Plan Review or Building Construction Plan Review)                            Enter Points Submittal                            Final
      Review          Contractor                                                                                                                                                      Attempted (#)   Date      Planning       ISD    Inspection
        C              DT (MEP)       EA Credit 5.2   Measurement & Verification- Tenant Sub-metering                                                                         3
                                                      Provide documentation that a centrally monitored electronic metering network in the base building design that                   Notes:
                                                      is capable of being expanded to accommodate the future tenant submetering as required for LEED CI.
                                                      Submit a tenancy measurement and verification (M&V) plan that documents and advises future tenants of
                                                      this opportunity and the means of achievement. Provide a process for corrective action if the results of the
                                                      M&V plan indicate that energy savings are not being achieved.
        C               O or DT       * EA Credit 6   Green Power                                                                                                             2
                                                      Provide copy of a contract with a Green-e certified Renewable Energy Provider or accredited renewable                           Notes:
                                                      energy certificates (RECs) for a minimum of 2 years and 35% of the building's annual electricity power
                                                      consumption. Determine baseline electricity use using: consumption can be based on the results of EAC1 or
                                                      estimated with the Commercial Buildings Energy Consumption Survey database. Note, the C&S building's
                                                      electricity is defined as the electricity usage of the core and shell square footable, as defined by the Building
                                                      Owners and Managers Association (BOMA) Standards, but not less than 15% of the building total gross
                                                      square footage.
                                                      Option 1: Estimate annual electricity consumption from EA Credit 1: Optimize Energy
                                                      Option 2: Estimate annual electricity consumption based on the US Department of Energy's Commercial
                                                      Buildings Energy Consumption Survey database
MATERIALS AND RESOURCES                                                                                                                                                     13             0
        C            DT (Architect)   * MR Credit 1 Building Reuse - Maintain Existing Walls, Floors, and Roof                                                               1-5
                                                    Documentation confirming the building element ID, location, existing area, reused area and percentage of all                      Notes:
                                                    major existing structural and envelope elements. Calculation excludes nonstructural roofing, window
                                                    assemblies, structural and envelope materials that are deemed structurally unsound, hazardous, or that pose
                                                    a contamination risk.
                                                    NOTE: This credit is not available to projects that include additions that are more than six times the square
                                                    footage of the existing building.
                                                    Reuse 25%                                                                                                                 1
                                                    Reuse 33%                                                                                                                 2
                                                    Reuse 42%                                                                                                                 3
                                                    Reuse 50%                                                                                                                 4
                                                    Reuse 75%                                                                                                                 5
        C                  C          * MR Credit 2 Construction Waste Management (1 to 2 points):                                                                           1-2
                                                    Divert 50% from disposal                                                                                                  1       Notes:
                                                    Divert 75% from disposal                                                                                                  2
                                                                                           COMPLETE TEMPLATE MR C2
        C            DT (Architect)    MR Credit 3 Materials Reuse                                                                                                            1
                                                    Reuse 5% (based on cost)                                                                                                          Notes:
                                                                                           COMPLETE TEMPLATE MR C3
        C              DT and C        MR Credit 4 Recycled Content                                                                                                          1-2
                                                    10% (post-consumer + 1/2 pre-consumer) (based on cost)                                                                    1       Notes:
                                                    20% (post-consumer + 1/2 pre-consumer) (based on cost)                                                                    2
                                                                                           COMPLETE TEMPLATE MR C4
        C              DT and C        MR Credit 5 Regional Materials                                                                                                        1-2
                                                    10% (extracted, processed & manufactured w/in 500 miles) (based on cost)                                                  1       Notes:
                                                    20% (extracted, processed & manufactured w/in 500 miles) (based on cost)                                                  2
                                                                                           COMPLETE TEMPLATE MR C5
        C              DT and C        MR Credit 6 Certified Wood                                                                                                             1
                                                    50% of wood-based materials and products certified by FSC (based on cost)                                                         Notes:
                                                                                           COMPLETE TEMPLATE MR C6




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   Submittal         Responsible                                                                                                                                                                                          City Staff
                                                                                                                                                                                            Applicant
    Phase               Party                                                  Credit Name and Required Submittal Documentation                                                                                         Approval Date
 Development Plan                                                                                                                                                       Points
                       Owner/       Credit Number                                                                                                                                                 Enter
    Review or                                                                                                                                                          Available
 Construction Plan   Design Team/                      (Documentation to be submitted during Development Plan Review or Building Construction Plan Review)                          Enter Points Submittal                            Final
      Review          Contractor                                                                                                                                                   Attempted (#)   Date      Planning       ISD    Inspection

INDOOR ENVIRONMENTAL QUALITY                                                                                                                                             12             0
        C             DT (MEP)      IEQ Credit 1     Outdoor Air Delivery Monitoring                                                                                       1
                                                     Building plans verify that a permanent CO2 monitoring system is installed that provides feedback on                           Notes:
                                                     ventilation system performance to ensure that ventilation systems maintain design minimum ventilation
                                                     requirements. The system is also configured to generate an alarm when conditions vary by 10% or more
                                                     from set point. Include airflow monitors and CO2 sensors into floor plans, schematics, elevations, and
                                                     mechanical schedules. Provide narrative describing the project's ventilation design and CO2 monitoring
                                                     system.
        C             DT (MEP)      IEQ Credit 2     Increased Ventilation                                                                                                 1
                                                     Building plans verify that the design exceeds breathing zone outdoor air ventilation rates to all occupied                    Notes:
                                                     spaces by at least 30% above the minimum rates required by ASHRAE Standard 62.1-2007 (with errata but
                                                     without addenda).
        C                 C          IEQ Credit 3    Construction IAQ Management Plan - During Construction                                                                1
                                                     Submit a copy of the project's Construction Indoor Air Quality (IAQ) Management Plan that is developed in                     Notes:
                                                     accordance with the recommended Design Approaches of the Sheet Metal and Air Conditioning National
                                                     Contractors Association (SMACNA) IAQ Guidelines for Occupied Buildings Under Construction, 2nd Edition
                                                     2007, ANSI/SMACNA 008-2008 (Chapter 3).
                                                     During construction, protect stored on-site and installed absorptive materials from moisture damage.
                                                   For all permanently installed air handlers that are used during construction, verify that MERV 8 filtration media
                                                   are used and replaced prior to occupancy.
        C             DT and C      IEQ Credit 4.1 Low-Emitting Materials - Adhesives & Sealants                                                                           1
                                                   Adhesives, sealants, and sealant primers comply with the South Coast Air Quality Management District Rule                       Notes:
                                                   #1168 and aerosol adhesives comply with the Green Seal Standard for Commercial Adhesives GS-36.
                                                                                          COMPLETE TEMPLATE EQ C4.1
        C             DT and C      IEQ Credit 4.2 Low-Emitting Materials - Paints & Coatings                                                                              1
                                                   Paints and coatings applied within the weatherproofing system comply with the appropriate standards:                            Notes:
                                                   -Architectural paints do not exceed the VOC limits of Green Seal Standard GS-11, Paints, 1st Edition, May,
                                                   1993.
                                                   -Anti-corrosive and anti-rust paints do not exceed 250 g/L established by Green Seal Standard GC-03, Anti-
                                                   Corrosive Paints, 2nd Edition, January 7, 1997.
                                                   -Clear wood finishes, coatings, stands, primers, and shellacs do not exceed the VOC limits established by
                                                   the South Coast Air Quality Management District Rule 1113, Architectural Coatings, rules in effect on January
                                                   1, 2004.
                                                                                          COMPLETE TEMPLATE EQ C4.2
        C             DT and C      IEQ Credit 4.3 Low-Emitting Materials - Flooring Systems                                                                               1
                                                   Option 1: All flooring must comply with appropriate standards:                                                                  Notes:
                                                   -Carpets must comply with the Carpet and Rug Institute Green Label Plus program.
                                                   -Carpet cushions comply with the Carpet and Rug Institute Green Label program.
                                                   -Carpet adhesive comply with IEQ Credit 4.1, with a 50 g/L VOC limit.
                                                   -Hard surface flooring must be certified as compliant with FloorScore standards.
                                                   -Concrete, wood, bamboo and cork floor finishes such as sealer, stain, and finishes meet the requirements of
                                                   South Coast Air Quality Management District, Rule 1113, Architectural Coatings, rules in effect on January 1,
                                                   2004.
                                                   -Tile setting adhesives and grout meet the South Coast Air Quality Management District Rule 1168.
                                                     Option 2: All flooring elements installed in the building interior must meet the requirements of the CA
                                                     Department of Health Services Standard Practice for the Testing of Volatile Organic Emissions from Various
                                                     Sources Using Small-Scale Environmental Chambers.
                                                                                           COMPLETE TEMPLATE EQ C4.3




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   Submittal         Responsible                                                                                                                                                                                             City Staff
                                                                                                                                                                                               Applicant
    Phase               Party                                                    Credit Name and Required Submittal Documentation                                                                                          Approval Date
 Development Plan                                                                                                                                                          Points
                       Owner/         Credit Number                                                                                                                                                  Enter
    Review or                                                                                                                                                             Available
 Construction Plan   Design Team/                        (Documentation to be submitted during Development Plan Review or Building Construction Plan Review)                           Enter Points Submittal                            Final
      Review          Contractor                                                                                                                                                      Attempted (#)   Date      Planning       ISD    Inspection
        C              DT and C       IEQ Credit 4.4 Low-Emitting Materials - Composite Wood and Agrifiber Products                                                           1
                                                     Composite wood and agrifiber products (particleboard, medium density fiberboard (MDF), plywood,                                  Notes:
                                                     wheatboard, strawboard, panel substrates and door cores) used inside the weather-proofing system contain
                                                     no added urea-formaldehyde resins. Laminating adhesives used to fabricate on-site and shop-applied
                                                     composite wood and agrifiber assemblies do not contain added urea-formaldehyde resins.
                                                                                           COMPLETE TEMPLATE EQ C4.4
        C            DT (Architect)    IEQ Credit 5 Indoor Chemical & Pollutant Source Control                                                                                1
                                                     Building plans demonstrate compliance with all of the following requirements:                                                    Notes:
                                                     -All regular points of entry have permanent entryway systems (grates, grills, and slotted systems; roll-out
                                                     mats or carpet systems) of at least 10 feet long to capture dirt and particulates. Tables provide system
                                                     manufacturer, model ID, system description, and how roll up or carpet systems will be maintained weekly by
                                                     a contracted service organization. C&S projects that do not have entryway systems cannot achieve this
                                                     credit.
                                                      - All areas where hazardous gases and/or chemicals are present/used are identified and have specifications
                                                      that each room is designed to be fully sealed from adjacent spaces and have an exhaust system that
                                                      provides sufficient negative pressure within the room. Details of deck-to-deck partitions or hard-lid conditions
                                                      and negative pressure calculations are provided for each chemical use area room.
                                                      - All mechanical ventilation filtration for air handling units/ventilators serving occupied areas have been
                                                      supplied with MERV 13 (or better) air filter prior to occupancy. Filtration is applied to process both return and
                                                      outside air that is delivered as supply air.
                                                      - Provide containment for appropriate disposal of hazardous liquid wastes in places where water and
                                                      chemical concentrate mixing occurs.
        C              DT (MEP)        IEQ Credit 6   Controllability of Systems - Thermal Comfort                                                                            1
                                                      Building plans demonstrate compliance with both of the following requirements:                                                  Notes:
                                                      - At least 50% of the building occupants have individual comfort controls. Operable windows may be used in
                                                      lieu of controls for occupants located 20 feet inside and 10 feet to either side of an operable window. Identify
                                                      the quantity of individual workstations (private offices and cubicles), the quantity of individual workstation
                                                      comfort controls provided, and the percentage of workstations that are provided with controls.
                                                      - ALL shared multi-occupant spaces have comfort system controls to enable adjustment. List each multi-
                                                      occupant space and provide a description of the thermal comfort controls.
                                                      C&S projects that do not purchase and/or install the mechanical system or operable windows (or combination
                                                      of both) do not meet the intent of this credit.
        C              DT (MEP)        IEQ Credit 7   Thermal Comfort - Design                                                                                                1
                                                      Building plans demonstrate compliance with ASHRAE Standard 55-2004, Thermal Environmental Conditions                            Notes:
                                                      for Human Occupancy (with errata but without addenda).
                                                      -For spring, summer, fall, and winter, include information on the maximum indoor space design temperature,
                                                      minimum indoor space design temperature, and maximum indoor space design humidity.
                                                      -Include a narrative describing the method used to establish thermal comfort conditions and how the systems
                                                      address the design criteria.




8-24-2010 Version                                                                                                                                                                                                                           7 of 32
                                                                                                                                                                                                          Rockville Green Building Program




   Submittal         Responsible                                                                                                                                                                                     City Staff
                                                                                                                                                                                       Applicant
    Phase               Party                                                   Credit Name and Required Submittal Documentation                                                                                   Approval Date
 Development Plan                                                                                                                                                  Points
                       Owner/         Credit Number                                                                                                                                          Enter
    Review or                                                                                                                                                     Available
 Construction Plan   Design Team/                        (Documentation to be submitted during Development Plan Review or Building Construction Plan Review)                   Enter Points Submittal                            Final
      Review          Contractor                                                                                                                                              Attempted (#)   Date      Planning       ISD    Inspection
        C            DT (Architect)   IEQ Credit 8.1 Daylight & Views - Daylight 75% of regularly occupied spaces                                                     1
                                                      Demonstrate through one of the following options that the appropriate percentage of regularly occupied                  Notes:
                                                     spaces achieve daylight illuminance levels of a minimum of 25 fc and a maximum of 500 fc.
                                                     Option 1: Demonstrate through computer simulations that 75% or more of all regularly occupied spaces
                                                     achieve required daylight illuminance levels.
                                                     Option 2: Meet the prescriptive requirements for side-lighting daylight zone.
                                                     Option 3: Demonstrate through records of indoor light measurements that minimum daylight illumination
                                                     levels are met for 75% of all regularly occupied spaces.
                                                     Option 4: Use a combination of Options 1-3 to document that at least 75% of all regularly occupied spaces
                                                     receive the minimum daylight illumination.
                                                                                             COMPLETE TEMPLATE EQ C8.1
        C            DT (Architect)   IEQ Credit 8.2 Daylight & Views - Views for 90% of regularly occupied spaces                                                    1
                                                     Building plans include project drawings with line of sight from perimeter vision glazing (in both plan and               Notes:
                                                     sectional views). Spreadsheet calculations verify the compliant view areas.
                                                     C&S projects must incorporate a feasible tenant layout(s) per the default occupancy counts (or some other
                                                     justifiable occupancy count) that can be used in the analysis of this credit.
                                                                                             COMPLETE TEMPLATE EQ C8.2
INNOVATION & DESIGN PROCESS                                                                                                                                          6             0
       D/C               ALL           ID Credit 1.1   Innovation/Enhanced Performance                                                                                1
                                                       Credit Name:

                                                                                           COMPLETE TEMPLATE ID C1-5
       D/C               ALL           ID Credit 1.2   Innovation/Enhanced Performance                                                                                1
                                                       Credit Name:

                                                                                           COMPLETE TEMPLATE ID C1-5
       D/C               ALL           ID Credit 1.3   Innovation/Enhanced Performance                                                                                1
                                                       Credit Name:

                                                                                           COMPLETE TEMPLATE ID C1-5
       D/C               ALL           ID Credit 1.4   Innovation/Enhanced Performance                                                                                1
                                                       Credit Name:

                                                                                           COMPLETE TEMPLATE ID C1-5
       D/C               ALL           ID Credit 1.5   Innovation/Enhanced Performance                                                                                1
                                                       Credit Name:

                                                                                            COMPLETE TEMPLATE ID C1-5
       D/C             LEED AP         ID Credit 2     LEEP Accredited Professional (Required)                                                                        1
                                                       Provide copy of LEED AP Certificate and describe role in the project.




8-24-2010 Version                                                                                                                                                                                                                   8 of 32
                                                      Rockville Green Building Program Submittal Template
                                                                         Core and Shell
              SS                                                                      Sustainable Sites
                                                                                SS C8: Light Pollution Reduction



                     Project Name:                                                                                          Project Type:
                          Address:                                                                                           Project Size:


I, __________________________________________________________, from _________________________________________________
                                              (Responsible Individual)                  (Company Name)
verify that the information provided is accurate, to the best of my knowledge.




Credit Compliance
Project teams must demonstrate compliance with 1 of the 2 options for interior lighting AND the requirements for exterior lighting.

Interior Lighting

Option 1: Reduce input power to interior non-emergency luminaries with direct line-of-sight to envelope openings by 50% between 11 p.m. and 5 a.m.

Option 2: Shield envelope openings that have a direct line-of-site to non-emergency luminaries.

Interior supporting documentation:
1. Provide interior lighting plans that clearly show the location and type of all installed interior building lighting fixtures and the exterior building surfaces to
confirm that the maximum candela from interior fixtures does not intersect transparent or translucent building surfaces.

OR

2. Provide drawings highlighting that automatic lighting controls turn off non-essential lighting during non-business hours. Incorporate drawings of
devices, assembly specifications, and product data showing that they block at least 90% of the light. Incorporate a sequence of operation for lighting into
drawings and specifications or the building operation plan.

Note: For C&S buildings, interior requirements are limited to the core and shell lighting. This typically includes lobby and core circulation spaces. If no
light is provided to tenant spaces as part of the core and shell development, those spaces are exempt from these requirements. C&S projects that do
not install any interior lighting as part of the project scope have met this requirement.

Exterior Lighting
Light power densities must not exceed ANSI/ASHRAE/IESNA Standard 90.1-2007 for the classified zone.

                                      LZ1- Dark (Park and Rural Settings)
                                      LZ2- Low (Residential Areas)
                                      LZ3- Medium (Commercial/Industrial, High-Density Residential)
                                      LZ4- High (major city centers, entertainment districts)

Exterior supporting documentation:
1. Confirm no exterior lighting is installed.

OR

2a. Confirm the site zone classification of the project.
2b. Provide exterior lighting plans with the locations and types of all installed site lighting fixtures.
2c. Complete the lighting power density calculations for both exterior site lighting and facade/landscape lighting. For each exterior site area, list the
location identification, the units, the area or distance for the specified location, the actual lighting power density (LPD), and the ASHRAE allowable LPD
for that location.
2d. Complete the site lumen calculations. For each fixture type used for site lighting, include the luminaire type, quantity installed, the initial lamp lumens
per luminaire, the initial lamp lumens above 90 degrees from Nadir, the total lamp lumens, and the total lamp lumens above 90 degrees.
2e. Provide a narrative that includes information regarding the light trespass analysis.
2f. Develop a photometric site plan of parking areas that include footcandle summary tables for light ratio.




SS C8, 8-24-2010 Version                                                                                                                                       9 of 32
                                                                  Rockville Green Building Program Submittal Template
                                                                                     Core and Shell
             WE                                                                                     Water Efficiency
                                                                                           WE C1: Water Efficient Landscaping



                     Project Name:                                                                                        Project Type:
                          Address:                                                                                        Project Size:


I, __________________________________________________________, from _________________________________________________
                                               (Responsible Individual)                  (Company Name)
verify that the information provided is accurate, to the best of my knowledge.


Select Option:

Option 1: Reduce potable water consumption by 50% (2 points):
Reduce potable water consumption for irrigation by 50% from a calculated midsummer baseline case (2 points):

Option 2: No potable water use or irrigation (4 points):
Achieve the requirements for Option 1;

AND one of the following paths:

Path 1: Use only captured rainwater, recycled wastewater, recycled graywater or water treated and conveyed by a public agency specifically for nonpotable uses for irrigation.

Path 2 : Install landscaping that does not require permanent irrigation systems. Temporary irrigation systems used for plant establishment are allowed only if removed within 1
year of installation.

Supporting Documentation

1. Provide a landscape plan that shows a planting schedule and irrigation system.

2. Provide applicable plumbing drawings that provide data regarding any onsite wastewater treatment or captured water.

3. Submit calculations for the baseline and design case to show the percentage reduction in water demand (in July).

                                        = Calculated baseline irrigation water consumption (gallons) (Baseline Total Water Applied (TWA))

                                        = Calculated design irrigation water consumption (gallons) (Design Total Water Applied (TWA))


4. Provide narrative and calculations for irrigation water if supplied by non-potable water source:

                                                                                   = Non-potable irrigation water (gallons)

                           May include: On-site captured rainwater
                                        On-site treated wastewater
                                        On-site captured graywater
                                        Public agency sourced, non-potable treated water

5. The total potable water applied for the design case ( = TWA design - non-potable irrigation water)

                                                                               0 = Design Case Total Potable Water Applied (gallons) (TPWA)

6. Percent Reduction of Potable Water (%) = (1 - (Design TPWA)/(Baseline TWA)) * 100

                                                                              0%

7. Percent Reduction of Total Water (%) = (1 - (Design TWA)/(Baseline TWA)) * 100

                                                                              0%

             Option 1 LEED Points:                                        -
             Option 2 LEED Points:                                        -
                     LEED Points:                                         -

* To qualify for 2 points the project must use recycled and/or salvaged materials for at least 5% of the costs.
  To qualify for 4 points the project must reduce potable water by 100% AND the percentage reduction of total water use for irrigation must be 50% or more.




WE C1, 8-24-2010 Version                                                                                                                                                         10 of 32
                                                                           Rockville Green Building Program Submittal Template
                                                                                              Core and Shell
             WE                                                                                             Water Efficiency
                                                                                            WE C2: Innovative Wastewater Technologies



                    Project Name:                                                        Project Type:
                         Address:                                                         Project Size:


I, __________________________________________________________, from _________________________________________________
                                               (Responsible Individual)                         (Company Name)
verify that the information provided is accurate, to the best of my knowledge.


Select Option:

Option 1: Water savings calculations
Reduce potable water use for building sewage conveyance by 50% through the use of water-conserving fixtures or non-potable water.

Option 2: On-site wastewater treatment
Treat 50% of wastewater on-site to tertiary standards. Treated water must be infiltrated or used on-site.

Supporting Documentation

1. Provide general project information for occupancy breakdown calculations:

                                      Full Time Equivalents
                                                                  Student / Visitor    Retail Customer Residential        Transient
                                              (FTE)
Total                                           0                         0                   0                 0             0
Male
Female

2. Percent of male restrooms with urinals:



3. Annual Days of Operation (1-365):



4. Wastewater Calculation

4.1 Flush Fixture Data - Baseline Case
Provide default assumptions (samples are provided for non-residential projects)

                                                                                                                  Daily Uses Per Person
                                                                                                            Student /
                                                                                             FTE                        Retail Customer Residential Transient
Baseline Fixture Type               Gender                        Flush Rate (gpf)                           Visitor
Conventional Water Closet           Female                                      1.6           3                       3             0.2           5        0.5
Conventional Water Closet           Male                                        1.6           1                       1             0.1           5        0.1
Conventional Urinal                 Male                                           1          2                       2             0.1           0        0.4

                                     = Annual Baseline Flush Fixture Water Usage (gallons/yr)
                                    (provide separate calculations)


4.2 Flush Fixture Data - Design Case
Provide design case. Daily uses per person and duration should be equal to those listed for the comparable fixture in the baseline.
                                                                                                                                                          Daily Uses Per Person
                                                                     Fixture                                Flush Rate   Percent of                 Student /     Retail
                                                                                                                                           FTE                             Residential Transient
Design Fixture Type                 Gender                         Manufacturer         Fixture Model          (gpf)     Occupants                   Visitor    Customer




                                     = Annual Design Flush Fixture Water Usage (gallons/yr)
                                    (provide separate calculations)

4.3 Non-Potable Source Water
Enter the annual amount of on-site collected/treated water used for sewage conveyance.

Water Source                          Annual Quantity (Gal)
Grey Water Re-use
Rain Re-use



                                 0 = Total on-site non-potable water (gallons/yr)




WE C2, 8-24-2010 Version                                                                                                                                                                      11 of 32
5. Wastewater Use Summary (Option 1)
Baseline Case- Annual Water Consumption (gal/yr):                        0
Design Case- Annual Water Consumption (gal/yr):                          0
Design Case - Total Annual Non-potable Water Consumption:                0
Design Case- Net Annual Water Consumption (gal/yr):                      0
Total Water Savings (%)                                                #DIV/0!
                                             LEED Points:              #DIV/0!

For credit compliance, a sewage conveyance reduction of at least 50% earns 2 points.

5. On-site wastewater treatment (Option 2)

5.1 Provide applicable plumbing drawings that provide information regarding any on-site wastewater treatment or captured water.

5.2 Provide a landscape plan for areas treating or using wastewater.

5.3 On-site Waste Treatment
Enter the annual amount of on-site collected/treated water used for sewage conveyance. The sum of the infiltrated plus reused water must equal the annual quantity treated.


                                                                                         Annual Quantity
                                    Annual Quantity Treated     Annual Quantity          Reused On-site
Water Source                                 (gal)               Infiltrated (gal)           (gal)




                            Total                           0                        0                0

5.4 Wastewater Summary
Design Case - Annual Flush Fixture Water Usage (gallons/yr):             0
Total Annual On-site Water Treatment (gallons/yr):                       0
Total Sewage Conveyance Reduction:                                       0
Total Sewage Conveyance Reduction (%)                                  #DIV/0!
                                               LEED Points:            #DIV/0!




WE C2, 8-24-2010 Version                                                                                                                                                      12 of 32
                                                                    Rockville Green Building Program Submittal Template
                                                                                       Core and Shell
            WE                                                                                     Water Efficiency
                                                                                           WE C3: Water Use Reduction



                    Project Name:                                       Project Type:
                         Address:                                        Project Size:


I, __________________________________________________________, from _________________________________________________
                                              (Responsible Individual)              (Company Name)
verify that the information provided is accurate, to the best of my knowledge.


Credit compliance:
Reduce water consumption by 30% (2 points):
Reduce water consumption by 35% (3 points):
Reduce water consumption by 40% (4 points):

Supporting Documentation

1. Provide a description of water conservation strategies:




2. Provide occupancy breakdown calculations:

                                                                        Full Time
                                                                                         Student /       Retail
                                                                    Equivalents (FTE)                              Residential Transient
                                                                                          Visitor       Customer
                                                    Total                   0                  0           0            0           0
                                                    Male
                                                    Female

3. Percent of male restrooms with urinals:



4. Annual Days of Operation (1-365):




4. Water Savings Calculations

4.1 Flush Fixture Data - Baseline Case
Provide default assumptions (samples are provided for non-residential projects)

                                                                                             Daily Uses Per Person
                                                     Flush Rate                          Student /       Retail
                                                                          FTE                                       Residential Transient
Baseline Fixture Type               Gender              (gpf)                             Visitor      Customer
Conventional Water Closet           Female                    1.6           3                      3            0.2           5        0.5
Conventional Water Closet           Male                      1.6           1                      1            0.1           5        0.1
Conventional Urinal                 Male                        1           2                      2            0.1           0        0.4

                                     = Annual Baseline Flush Fixture Water Usage (gallons/yr)
                                    (provide separate calculations)

4.2 Flow Fixture Data - Baseline Case
Provide default assumptions (samples are provided for non-residential projects)
                                                                                             Daily Uses Per Person
                                      Flow Rate       Duration                           Student /       Retail
                                                                          FTE                                       Residential Transient
Baseline Fixture Type                   (GPM)        (seconds)                            Visitor      Customer
Conventional Lavatory                         2.2              15           3                      3            0.2           5        0.5
Conventional Shower                           2.5            300           0.1                     0              0           1          0
Kitchen Sink                                  2.2              15           1                      0              0           4          0

                                     = Annual Baseline Flow Fixture Water Usage (gallons/yr)
                                    (provide separate calculations)

                                0 = TOTAL Annual Baseline Water Usage (gallons/yr)




WE C3, 8-24-2010 Version                                                                                                                     13 of 32
4.3 Flush Fixture Data - Design Case
Provide design case. Daily uses per person and duration should be equal to those listed for the comparable fixture in the baseline.
                                                                                                                                           Daily Uses Per Person
                                                                                                                                      Student /    Retail
                                                       Fixture                           Flush Rate      Percent of         FTE                              Residential Transient
                                                                                                                                       Visitor    Customer
Design Fixture Type                 Gender           Manufacturer    Fixture Model          (gpf)        Occupants




                                     = Annual Design Flush Fixture Water Usage (gallons/yr)
                                    (provide separate calculations)

4.4 Flow Fixture Data - Design Case
Provide design case.
                                                                                                                              Daily Uses Per Person
                                                                                                                         Student /     Retail
                                      Fixture                                             Duration          FTE                                Residential   Transient
                                                                                                                          Visitor     Customer
Design Fixture Type                 Manufacturer Fixture Model Flow Rate (GPM)           (seconds)




                                     = Annual Design Flow Fixture Water Usage (gallons/yr)
                                    (provide separate calculations)

                                 0 = TOTAL Design Water Usage (gallons/yr)

4.5 Non-Potable Source Water


                                      Annual
Water Source                        Quantity (Gal)
Grey Water Re-use
Rain Re-use



                                 0 = Total on-site non-potable water (gallons/yr)

5. Water Use Summary
Baseline Case- Annual Water Consumption (gal/yr):                          0
Design Case- Annual Water Consumption (gal/yr):                            0
Design Case - Total Annual Non-potable Water Consumption:                  0
Design Case- Net Annual Water Consumption (gal/yr):                        0
Total Water Savings (%)                                                  #DIV/0!

                     LEED Points:      #DIV/0!

* To qualify for 2 points the project must reduce water consumptions by 30%
  To qualify for 3 points the project must reduce water consumptions by 35%
  To qualify for 4 points the project must reduce water consumptions by 40%




WE C3, 8-24-2010 Version                                                                                                                                                       14 of 32
                                                                  Rockville Green Building Program Submittal Template
                                                                                     Core and Shell
              MR                                                                            Materials and Resources
                                                                                      MR C2: Construction Waste Management



                      Project Name:                                                                                           Project Type:
                           Address:                                                                                           Project Size:


I, __________________________________________________________, from _________________________________________________
                                  (Responsible Individual)                               (Company Name)
verify that the information provided is accurate, to the best of my knowledge.


                                         Construction Waste Coordinator:
                                      (responsible for implementing plan)
                                                                    Phone:
                                                                     Email:
  Enter units for diverted and landfill calculations (tons or cubic yards):

To achieve points related to this LEED credit, applicants must prepare and implement a Construction Waste Management Plan by completing the following worksheet for materials
generated during construction and/or demolition. After completion of construction and/or demolition, applicants will update this plan to include actual numbers and provide legible copies
of weigh tickets, receipts, or invoices for materials sent to disposal or reuse/recycling facilities. The final report must be submitted and approved prior to issuance of a certificate of
occupancy.

Implementation Measures:
- Waste prevention and recycling activities are discussed at each safety meeting.
- As each new subcontractor comes on-site, the recycling coordinator presents him/her with a copy of the Waste Management Plan and provides a tour of the recycling areas.
- Subcontractors ensure that all crews comply with the Waste Management Plan.
- All recycling containers are clearly labeled.
- Lists of acceptable/unacceptable materials are posted throughout the site.
                                                          Hauler                             Destination                  DIVERTED            LANDFILLED                        Notes
               Material                          (N/A if reused on site)                                             Estimated Quantities Estimated Quantities
Acoustical ceiling tiles
Appliances
Asphalt
Asphalt shingles
Brick/Tile
Cabinets
Cardboard
Carpet/Foam/Padding
Concrete
Doors
Drywall (old construction)
Drywall (new construction)
Fixtures (shower stalls, sinks, toilets,
etc.)
Fluorescent lights and ballasts
Garage Doors
Glass/Plate/Window
Glass/Other
Gypsum board
Metals (Specify)
Metals (Specify)
Mixed Recyclables
(bottles, cans, etc.)
Mixed Trash
Paint
Pallets
Rocks
Wood
Other Salvage Material
Other (describe)
Other (describe)
Other (describe)
Other (describe)
Other (describe)
Other (describe)

                                                                      Total Construction Waste Diverted                                      0             0
                                                                     Total Construction Waste Landfilled                                     0             0
                                                                    Total Construction Waste Generated                                       0             0
                                            Total percentage of construction waste diverted from landfill*
                                                                                            LEED Points

* To qualify for 1 point the project must recycle and/or salvage at least 50% of non-hazardous construction and demolition waste.
  To qualify for 2 points the project must recycle and/or salvage at least 75% of non-hazardous construction and demolition waste.




MR C2, 8-24-2010 Version                                                                                                                                                              15 of 32
Information and Resources:   Builder's Guide:                                           General Information:
                             http://www.mwcog.org/buildersrecyclingguide/download.htm   http://www.mwcog.org/buildersrecyclingguide/info.htm




MR C2, 8-24-2010 Version                                                                                                                       16 of 32
                                                              Rockville Green Building Program Submittal Template
                                                                                 Core and Shell
             MR                                                                       Materials and Resources
                                                                                           MR C3: Materials Reuse



                    Project Name:                                                                                Project Type:
                         Address:                                                                                 Project Size:


I, __________________________________________________________, from _________________________________________________
                                  (Responsible Individual)                             (Company Name)
verify that the information provided is accurate, to the best of my knowledge.


Select Option
      1) Default Materials Value: Based on the total construction cost (hard costs for CSI MasterFormat 2004 Edition Divisions 03-10, 31 and 32).

                                         Enter the total construction costs =
             Enter Default Material Costs (total construction costs X 0.45) =   $                       -

        2) Actual Materials Value: Based on the actual materials costs (excluding labor and equipment) (hard costs for CSI MasterFormat 2004 Divisions 03-10, 31, and 32).

                                          Enter the actual materials costs =

Credit Compliance:
Enter the reused/salvaged materials descriptions and their cost (or replacement value) in the table below

     Name/Description of                              Vendor                          Material Cost                                  Notes
   Reused/Salvaged Material                   (N/A if reused on site)                       $




                          Total Value of Reused / Salvaged Materials: $                                 -
    Value of Recycled / Salvaged Materials as a percent of total costs:
                                                         LEED Points

* To qualify for 1 point the project must use recycled and/or salvaged materials for at least 5% of the costs.




MR C3, 8-24-2010 Version                                                                                                                                                     17 of 32
                                                                    Rockville Green Building Program Submittal Template
                                                                                       Core and Shell
              MR                                                                          Materials and Resources
                                                                                                 MR C4: Recycled Content



                       Project Name:                                                               Project Type:
                            Address:                                                               Project Size:


I, __________________________________________________________, from _________________________________________________
                                    (Responsible Individual)                               (Company Name)
verify that the information provided is accurate, to the best of my knowledge.


Select Option
        1) Default Materials Value: Based on the total construction costs (hard costs for CSI MasterFormat 2004 Edition Divisions 03-10, 31 and 32).

                             Enter the total construction costs =
 Enter Default Material Costs (total construction costs X 0.45) =    $             -

          2) Actual Materials Value: Based on the actual materials costs (excluding labor and equipment) (hard costs for CSI MasterFormat 2004 Divisions 03-10, 31, and 32).

                               Enter the actual materials costs =

Credit Compliance:
Enter the recycled materials, their content (post and pre-consumer), and their costs in the table below

                                                                                                                    Pre-Consumer
                                                                                         Post-Consumer             Recycled Content    Recycled Content       Information
           Material Name                     Manufacturer            Material Cost ($) Recycled Content (%)              (%)                Value                Source
                                                                                                                                      $              -
                                                                                                                                      $              -
                                                                                                                                      $              -
                                                                                                                                      $              -
                                                                                                                                      $              -
                                                                                                                                      $              -
                                                                                                                                      $              -
                                                                                                                                      $              -
                                                                                                                                      $              -
                                                                                                                                      $              -
                                                                                                                                      $              -
                                                                                                                                      $              -
                                                                                                                                      $              -
                                                                                                                                      $              -
                                                                                                                                      $              -
                                                                                                                                      $              -
                                                                                                                                      $              -
                                                                                                                                      $              -
                                                                                                                                      $              -
                                                                                                                                      $              -
                                                                                                                                      $              -
                                                                                                                                      $              -
                                                                                                                                      $              -
                                                                                                                                      $              -
                                                                                                                                      $              -
                                                                                                                                      $              -
                                                                                                                                      $              -
                                                                                                                                      $              -
                                                                                                                                      $              -
                                                                                                                                      $              -
                                                                                                                                      $              -
                                                                                                                                      $              -
                                                                                                                                      $              -

                                     Combined Value of Postconsumer + 1/2 Preconsumer Content (Total Recycled Content Value): $                        -

   Combined Value of Postconsumer Content, as a Percentage of Default Total Materials Cost (Total Percent Recycled Content):
                                                                                                                LEED Points

* To qualify for 1 point the project must use recycled content for at least 10% of the costs.
  To qualify for 2 points the project must use recycled content for at least 20% of the costs.




MR C4, 8-24-2010 Version                                                                                                                                                 18 of 32
                                                                      Rockville Green Building Program Submittal Template
                                                                                         Core and Shell
               MR                                                                              Materials and Resources
                                                                                                     MR C5: Regional Materials



                           Project Name:                                                              Project Type:
                                Address:                                                               Project Size:


I, __________________________________________________________, from _________________________________________________
                                      (Responsible Individual)                             (Company Name)
verify that the information provided is accurate, to the best of my knowledge.


Select Option
         1) Default Materials Value: Based on the total construction costs (hard costs for CSI MasterFormat 2004 Edition Divisions 03-10, 31 and 32).

                              Enter the total construction costs =
  Enter Default Material Costs (total construction costs X 0.45) =    $               -

            2) Actual Materials Value: Based on the actual materials costs (excluding labor and equipment) (hard costs for CSI MasterFormat 2004 Divisions 03-10, 31, and 32).

                                 Enter the actual materials costs =

Credit Compliance:
Enter the regional materials (within 500 miles of the project) and their costs in the table below.
Do not include mechanical, electrical, and plumbing components, appliances and equipment.

                                                                      Distance between       Distance between
                                                                          Project &              Project &
                                                                        Manufacturer         Extraction/Harvest                           Value Qualifying
             Product Name                      Manufacturer                (miles)                 (miles)             Product Cost ($)     at Regional ($)   Information Source
                                                                                                                                          $              -
                                                                                                                                          $              -
                                                                                                                                          $              -
                                                                                                                                          $              -
                                                                                                                                          $              -
                                                                                                                                          $              -
                                                                                                                                          $              -
                                                                                                                                          $              -
                                                                                                                                          $              -
                                                                                                                                          $              -
                                                                                                                                          $              -
                                                                                                                                          $              -
                                                                                                                                          $              -
                                                                                                                                          $              -
                                                                                                                                          $              -
                                                                                                                                          $              -
                                                                                                                                          $              -
                                                                                                                                          $              -
                                                                                                                                          $              -
                                                                                                                                          $              -
                                                                                                                                          $              -
                                                                                                                                          $              -
                                                                                                                                          $              -
                                                                                                                                          $              -
                                                                                                                                          $              -
                                                                                                                                          $              -
                                                                                                                                          $              -
                                                                                                                                          $              -
                                                                                                                                          $              -
                                                                                                                                          $              -
                                                                                                                                          $              -
                                                                                                                                          $              -
                                                                                                                                          $              -

                                                                                                                  Total Regional Costs: $               -
                                                                                                       Percentage of Regional Materials:
                                                                                                                           LEED Points

* To qualify for 1 point the project must use regional materials for at least 10% of the costs.
  To qualify for 2 points the project must use regional materials for at least 20% of the costs.




MR C5, 8-24-2010 Version                                                                                                                                                     19 of 32
                                                      Rockville Green Building Program Submittal Template
                                                                         Core and Shell
          MR                                                                  Materials and Resources
                                                                                    MR C6: Certified Wood



                Project Name:                                                       Project Type:
                     Address:                                                       Project Size:


I, __________________________________________________________, from _________________________________________________
                              (Responsible Individual)                           (Company Name)
verify that the information provided is accurate, to the best of my knowledge.




Credit Compliance:
Enter new wood products and their costs in the table below.

                                                                                                                                           FSC Chain of
                                                                                                      FSC Certified                          Custody
                                                                                                    Wood Percentage Value FSC Certified     Certificate
                                                                              Wood Component        of Wood Product Wood Percentage of    Number or On-
        Material Name               Manufacturer          Material Cost ($)         (%)                   (%)        Wood Product ($)     Product Label
                                                                                                                    $               -
                                                                                                                    $               -
                                                                                                                    $               -
                                                                                                                    $               -
                                                                                                                    $               -
                                                                                                                    $               -
                                                                                                                    $               -
                                                                                                                    $               -
                                                                                                                    $               -
                                                                                                                    $               -
                                                                                                                    $               -
                                                                                                                    $               -
                                                                                                                    $               -
                                                                                                                    $               -
                                                                                                                    $               -
                                                                                                                    $               -
                                                                                                                    $               -
                                                                                                                    $               -
                                                                                                                    $               -
                                                                                                                    $               -
                                                                                                                    $               -
                                                                                                                    $               -
                                                                                                                    $               -
                                                                                                                    $               -
                                                                                                                    $               -
                                                                                                                    $               -
                                                                                                                    $               -
                                                                                                                    $               -
                                                                                                                    $               -
                                                                                                                    $               -
                                                                                                                    $               -
                                                                                                                    $               -
                                                                                                                    $               -

                                                                             Total Value of Wood Components: $                       -
                                                               Total Value of FSC Certified Wood Components: $                       -
                                    FSC Certified Wood Values as a Percentage of Total new Wood-based Costs:               #DIV/0!
                                                                                                  LEED Points              #DIV/0!

* To qualify for 1 point the project must use FSC certified wood materials and products for at least 50%.




MR C6, 8-24-2010 Version                                                                                                                            20 of 32
                                                     Rockville Green Building Program Submittal Template
                                                                        Core and Shell
           EQ                                                             Indoor Environmental Quality
                                                              EQ 4.1: Low-Emitting Materials- Adhesives and Sealants



                Project Name:                                                    Project Type:
                     Address:                                                    Project Size:


I, __________________________________________________________, from ____________________________________________
                              (Responsible Individual)                           (Company Name)
verify that the information provided is accurate, to the best of my knowledge.


* To qualify for 1 point all products must comply with the appropriate standards.
  VOC Budget Methodology may be used as an alternative method to demonstrate compliance.

Credit Compliance:
Provide data for all indoor adhesives, sealants, sealant primer products and VOC information.

                                                                                SCAQMD
                                                          Product VOC        Allowable VOC       Source of VOC
   Product Manufacturer         Product Name/Model        Content (g/L)       Content (g/L)          Data




EQ C4.1, 8-24-2010 Version                                                                                             21 of 32
Provide data for all aerosol adhesives and VOC information.


                                                                            Green Seal
                                                                           Standard for
                                                         Product VOC       Commercial        Source of VOC
   Product Manufacturer        Product Name/Model        Content (g/L)   Adhesives (GS-36)       Data




EQ C4.1, 8-24-2010 Version                                                                                   22 of 32
                                                          Rockville Green Building Program Submittal Template
                                                                             Core and Shell
           EQ                                                                Indoor Environmental Quality
                                                                   EQ 4.2: Low-Emitting Materials- Paints and Coatings



                Project Name:                                                      Project Type:
                     Address:                                                      Project Size:


I, __________________________________________________________, from ____________________________________________
                              (Responsible Individual)                           (Company Name)
verify that the information provided is accurate, to the best of my knowledge.


* To qualify for 1 point all products must comply with the appropriate standards.
  VOC Budget Methodology may be used as an alternative method to demonstrate compliance.

Credit Compliance:
Provide data for all indoor paint and coating products.



                                                                              Green Seal, GS-11,
                                                             Product VOC       Allowable VOC       Source of VOC
   Product Manufacturer         Product Name/Model           Content (g/L)      Content (g/L)          Data




EQ C4.2, 8-24-2010 Version                                                                                               23 of 32
Provide data for all indoor anti-corrosive and/or anti-rust paint products.


                                                                                Green Seal, GC-03,
                                                             Product VOC         Allowable VOC       Source of VOC
   Product Manufacturer          Product Name/Model          Content (g/L)        Content (g/L)          Data




Provide data for all clear wood finishes, floor coatings, stains, primer, and shellacs.

                                                                                     SCAQMD
                                                             Product VOC          Allowable VOC      Source of VOC
   Product Manufacturer          Product Name/Model          Content (g/L)         Content (g/L)         Data




EQ C4.2, 8-24-2010 Version                                                                                           24 of 32
                                                          Rockville Green Building Program Submittal Template
                                                                             Core and Shell
           EQ                                                                  Indoor Environmental Quality
                                                                         EQ 4.3: Low-Emitting Materials- Flooring Systems



                Project Name:                                                        Project Type:
                     Address:                                                         Project Size:


I, __________________________________________________________, from ____________________________________________
                              (Responsible Individual)                           (Company Name)
verify that the information provided is accurate, to the best of my knowledge.


* To qualify for 1 point all products must comply with the appropriate standards.

Credit Compliance:
Provide data for all indoor carpet, cushions, adhesives, hard surface, and other floor finishes.


                                                                                  Cite Product Standard
                                                                      Carpet- Carpet and Rug Institute Green Label Plus
                                                              Carpet Cushions- Carpet and Rug Institute Green Label Program
                                                                      Carpet Adhesive- EQ C4.1 with a 50 g/L VOC limit                    Product
                                                                                 Hard Surface - FloorScore                             Complies with    Source of
                                                            Concrete, wood, bamboo and cork finishes (sealer, stain, and finishes) -     Standard      Compliance
    Product Manufacturer         Product Name/Model                                 SCAQMD Rule 1113                                    (Yes or No)     Statement




EQ C4.3, 8-24-2010 Version                                                                                                                                     25 of 32
                                                         Rockville Green Building Program Submittal Template
                                                                            Core and Shell
           EQ                                                                 Indoor Environmental Quality
                                                                        EQ 4.4: Composite Wood and Agrifiber Products



                Project Name:                                                       Project Type:
                     Address:                                                        Project Size:


I, __________________________________________________________, from ____________________________________________
                              (Responsible Individual)                           (Company Name)
verify that the information provided is accurate, to the best of my knowledge.


* To qualify for 1 point all products must comply with the appropriate standards.

Credit Compliance:
Provide data for all indoor composite wood and agrifiber products.

    Product Manufacturer        Product Name/Model              Product Contains No Added Urea-Formaldehyde Content     Source of Compliance Statement




EQ C4.4, 8-24-2010 Version                                                                                                                        26 of 32
                                                                    Rockville Green Building Program Submittal Template
                                                                                       Core and Shell
             EQ                                                                          Indoor Environmental Quality
                                                                                          EQ C8.1: Daylight and Views- Daylight



                     Project Name:                                                                                     Project Type:
                          Address:                                                                                      Project Size:


I, __________________________________________________________, from _________________________________________________
                                  (Responsible Individual)                                (Company Name)
verify that the information provided is accurate, to the best of my knowledge.


Select Option:

Option 1: Computer Simulation
Demonstrate through computer simulations that 75% or more of all regularly occupied spaces achieve daylight illuminance levels of a minimum of 25 footcandles (fc) and a maximum of
500 fc in a clear sky condition on September 21 at 9 a.m. and 3 p.m.

Supporting Documentation
1.1 Submit computer simulations and project drawings of modeling simulations.

1.2 Provide a spreadsheet that identifies the types of glare controls for each window.

1.3 Provide information on the following:

Total Regularly Occupied Space Area (square feet):
Total Regularly Occupied Space Area with Minimum 25 footcandles from daylight illumination (square feet):
 Percentage of Regularly Occupied Daylit Space (must equal at least 75% for 1 point)                                   #DIV/0!
                                                                                             LEED Points               #DIV/0!


Option 2: Prescriptive
Demonstrate compliance with the prescriptive daylight requirements for the side-lighting daylight zone and/or the top-lighting daylight zone.

Supporting Documentation
2.1 Submit project drawings and calculations that demonstrate compliance with the prescriptive daylighting requirements.

2.2 Provide a spreadsheet that identifies the types of glare controls for each window.

2.3 Provide information on the following:
Total Regularly Occupied Space Area (square feet):
Total Regularly Occupied Space Area with Minimum 25 footcandles from daylight illumination (square feet):
 Percentage of Regularly Occupied Daylit Space (must equal at least 75% for 1 point)                                   #DIV/0!
                                                                                             LEED Points               #DIV/0!


Option 3: Measurement
Demonstrate through records of indoor light measurements that a minimum daylight illumination level of 25 fc has been achieved in at least 75% of all regularly occupied areas.

Supporting Documentation
3.1 Provide spreadsheet of regularly occupied rooms or areas and square footage of each.

3.2 Record indoor light measurements of all regularly occupied spaces on a maximum 10-foot grid on project floor plans.
Take field measurements of footcandle levels at 30 inches above the floor within all regularly occupied areas, or measured at the appropriate desk or work height level.

3.3 Provide spreadsheet that summarizes the illumination levels for each space and the areas that meet the minimum 25 fc requirement.

3.4 Provide spreadsheet that identifies the types of glare controls for each window.

3.5 Provide information on the following:

Total Regularly Occupied Space Area (square feet):
Total Regularly Occupied Space Area with Minimum 25 footcandles from daylight illumination (square feet):
 Percentage of Regularly Occupied Daylit Space (must equal at least 75% for 1 point)                                   #DIV/0!
                                                                                             LEED Points               #DIV/0!




EQ C8.1, 8-24-2010 Version                                                                                                                                                        27 of 32
Option 4: Combination
Utilize a combination of the above calculation methods to document that a minimum daylight illumination level of 25 fc has been achieved in at least (75%) of all regularly occupied spaces.

Supporting Documentation
4.1 Provide space, square footage, and light amounts for all regularly occupied spaces on a maximum 10-foot grid on project floor plans.

4.2 Provide calculations, simulations, and plans as appropriate.

4.3 Provide a spreadsheet that identifies the types of glare controls for each window.

4.4 Provide information on the following:

Total Regularly Occupied Space Area (square feet):
Total Regularly Occupied Space Area with Minimum 25 footcandles from daylight illumination (square feet):
 Percentage of Regularly Occupied Daylit Space (must equal at least 75% for 1 point)                                 #DIV/0!
                                                                                                 LEED Points          #DIV/0!




EQ C8.1, 8-24-2010 Version                                                                                                                                                            28 of 32
                                                                   Rockville Green Building Program Submittal Template
                                                                                      Core and Shell
              EQ                                                                        Indoor Environmental Quality
                                                                                          EQ C8.2: Daylight and Views- Views



                     Project Name:                                                                                       Project Type:
                          Address:                                                                                        Project Size:


I, __________________________________________________________, from _________________________________________________
                                  (Responsible Individual)                             (Company Name)
verify that the information provided is accurate, to the best of my knowledge.


Credit compliance:
Achieve a direct line of sight to the outdoor environment via vision glazing between 30 inches and 90 inches above the finish floor for building occupants in 90% of all regularly
occupied areas.
(Regularly occupied spaces include office spaces, conference rooms, classrooms, core learning spaces, and cafeterias. Areas that do not need to be considered include support
areas for copying, storage, mechanical equipment, laundry, and restrooms.)

Supporting Documentation
1.1 Perform direct line of sight to perimeter glazing calculations to determine if 90% of the regularly occupied area has the potential for views.

1.2 Perform calculations regarding the horizontal view at a typical seated eye height to determine access to views.

1.3 Provide floor plans, sections, and elevations showing the location of regularly occupied spaces and views and the line of sight from interior spaces through interior windows.

1.4 Provide a spreadsheet documenting the regularly occupied floor area (sf), plan area of direct line of site to perimeter glazing (s/f), calculated area of direct line of sight to
perimeter vision glazing (s/f), horizontal view at 42 inches (yes/no), and the compliant area (sf).

1.5 Provide information on the following:

Total Regularly Occupied Space Area (square feet):
Total compliant area (square feet):
 Percentage of Regularly Occupied Daylit Space (must equal at least 90% for 1 point)                                     #DIV/0!
                                                                                                 LEED Points             #DIV/0!




EQ 8.2, 8-24-2010 Version                                                                                                                                                               29 of 32
                                           Rockville Green Building Program Submittal Template
                                                              Core and Shell
        ID                                                           Innovation and Design
                                                 ID Credit 1- 5: Innovation in Design or Exemplary Performance



       Project Name:                                                               Project Type:
            Address:                                                                Project Size:


I, __________________________________________________________, from __________________________________
                      (Responsible Individual)                                     (Company Name)
verify that the information provided is accurate, to the best of my knowledge.

Credit Compliance:
The following innovation/enhanced performance credit is for: 1) exceptional performance above the existing requirements; 2) innovative green building
performance of a type that is not currently addressed within LEED; and/or 3) credits from another LEED system (e.g., LEED Building Operation and
Maintenance).

ID 1.1: Innovation/Enhanced Performance

1. Narrative Statement of Credit




2. Narrative Statement describing Credit Requirements




3. Narrative Describing Project's Approach to the Credit




4. Supporting Documentation (include location in project drawings)




ID 1.2: Innovation/Enhanced Performance



1. Narrative Statement of Credit




2. Narrative Statement describing Credit Requirements




ID C1-5, 8-24-2010 Version                                                                                                                       30 of 32
3. Narrative Describing Project's Approach to the Credit




4. Supporting Documentation (include location in project drawings)




ID 1.3 Innovation/Enhanced Performance



1. Narrative Statement of Credit




2. Narrative Statement describing Credit Requirements




3. Narrative Describing Project's Approach to the Credit




4. Supporting Documentation (include location in project drawings)




ID 1.4 Innovation/Enhanced Performance



1. Narrative Statement of Credit




2. Narrative Statement describing Credit Requirements




3. Narrative Describing Project's Approach to the Credit




ID C1-5, 8-24-2010 Version                                           31 of 32
4. Supporting Documentation (include location in project drawings)




ID 1.5 Innovation/Enhanced Performance



1. Narrative Statement of Credit




2. Narrative Statement describing Credit Requirements




3. Narrative Describing Project's Approach to the Credit




4. Supporting Documentation (include location in project drawings)




ID C1-5, 8-24-2010 Version                                           32 of 32

				
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