UCLUELET GREEN BUILDING GUIDE:
BUILDING PERMIT CHECKLIST
total sq.ft of building
civic address or legal description of property
OPERATIONAL SYSTEMS
SPACE HEATING
THERMOSTATS
HOT WATER
HEATING
LIGHT FIXTURES
WINDOWS
INSULATION
PTS TOTAL
AFUE rated furnace/boiler - 1pt
high efficiency fuel burning
appliance - 1pt
heat-pump - 2pts
1 thermostat - 1pt
2 thermostats - 2pts
3 thermostats - 3pts
non-insulated tank - 0pt
insulated tank - 1pt
on demand - 2pts
passive solar - 3pts
solar - 3pts
incandescent - 0pt
halogen- 1pt
compact flourescent - 2pts
LED - 2pts
Dbl Glazing - 1pt
Dbl glazed with low E
coating - 2pts
Super Insulated -3pts
basement (R20+) - 1pt
walls (R22+) - 1pt
floor ( R25) - 1pt
INTERIOR/EXTERIOR MATERIALS
RECYCLED
MATERIALS
LOCALLY
HARVESTED
WOOD
WARRANTY ON
ROOF
GREEN ROOF
AREAS
USE OF
NATURAL
MATERIALS
doors - 1pt
PTS TOTAL
dbl glazing windows - 1pt
tpl glazed windows - 2pt
please list others:__________________________________________________
yes, locally - 2pts
no - 0pt
15 yrs - 0pt
yes - 2pts
25 yrs - 1pt
- 1pt
yes, On-site - 3pts
30+ yrs - 2pts
no - 0pt
please specify:_________________________________________________
HEAT RECOVERY
VENTILATOR
NATURAL
LIGHTING
MOLD
PREVENTION
15
- 2pts
INDOOR ENVIRONMENT
LOW OR
NON-TOXIC
PRODUCTS
INDOOR AIR
QUALITY
HVAC SYSTEM
FILTERS
26
attic (R40+) - 1pt
PTS
interior paint - 1pt
stains/finishes - 1pt
TOTAL
adhesives - 1pt
floor coverings - 3pt
air filters - 1pt
carbon monoxide detectors - 1pts
pleated media filter - 0pt
yes - 2pts
electronic air cleaner - 1pt
HEPA filtration sytem-1pt
no - 0pt
stratigically placed windows - 1pt
skylights- 1pt
building face orientation - 2pts
humidistat - 1pt
mold resistant materials - 1pt
ventilation/fans - 1pt
slopes/drainage-1pt
19
ENERGY/WATER CONSERVATION
ENERGY STAR
APPLIANCES
TOILETS
GRAYWATER
TREATMENT
WATER
COLLECTION/
REUSE
LOW FLOW
FIXTURES
PTS
TOTAL
dishwasher, clothes washer, refrigerator, stove, dryer - 2pts each appliance
sngl flush 6ltr - 1pt
sngl flush 3ltr - 2pts
yes - 2pts
no - 0pt
yes - 2pts
no - 0pt
kitchen -1pt
lavoratories - 1pt
dual flush type - 3pts
shower - 2pts
24
bath - 2pts
WASTE MANAGEMENT
PTS TOTAL
RECYCLING
PROGRAM DURING
CONSTRUCTION
yes - 2pts
no - 0pt
REUSED
MATERIALS
FROM LOCAL
CONSTRUCTION
SITES
yes - 2pts
no - 0pt
COLLECTION OF
WASTE BY MGT
COMPANY
(Animal Proof )
yes - 2pts
no - 0pt
NO TOXIC
POLLUTANTS
WITHIN SITE WASTE
yes - 2pts
no - 0pt
SITE MANAGEMENT
8
PTS
PROTECTION OF
TREES & VEGETATION
(Flagged off Areas)
yes - 2pts
no - 0pt
RETENTION OF TREES
& VEGETATION
yes - 2pts
no - 0pt
REUSE EXISTING
TOPSOILS & NATIVE
PLANTS
yes - 2pts
no - 0pt
MATERIALS
SUPPLIED WITHIN
800KM
yes - 2pts
no - 0pt
TOTAL GREEN BUILDING POINTS
Please list any additional features that are incorporated into the building and/or comment on barriers or
opportunites related to green building in Ucluelet:
For further clarification of any of the above points please visit
www.ucluelet.ca and refer to the Green Building Informatioal Guide.
TOTAL
8
100