multidisciplinary clinic and medical office building. it's located across the east side of@ memorandum office building across the east side of van ness and geary, 250,000 square feet, rising to nine stories, will provide 540 below-grade parking spaces and there is a proposed tunnel connecting those two buildings below grade sub is grade to van ness avenue. sheet number 23 shows a view of the medical office building we're now standing on the south west corner of the intersection at geary and van ness and you're looking to the navy. so the concordia club is in the rear of that rendering and you can see the gradient sort of rising from the east on geary to the west, to cathedral hill. thing about -- building itself is sub divided into a number of vertical components. this is a case where there is one context directly on van

ness where the building is strong, very organized in three parts, the setback at the top in appropriate scale and then turns into a series of interconnected staggered masses as it comes down geary in scale. those masses are rendered in a variety of materials and in this case because of the character of the neighborhood we're using architectural concrete, metal panel, and a varied number of glassy curtain walls. you can see from the davies residential neighborhood through van ness and geary, befits a broader avenue. number 23 -- 24 is the view of the hospital at van ness and geary. standing on the corner of post and van ness and we are looking back to the southwest and you are seeing an effort in the hospital to model the massing very dramatically. we're right across the street from the burnham building and

this is a particular view and we are extending the lower street line of van ness and a portion of the building that rises to about 63 feet which comprises the large majority of the van ness facade, the hospital then rises up toward franklin in two-story lifts and becomes about a 65-foot building along the franklin post corner. the entire ivet the medical-surgery bed tower which is divided into a number of different components to moduleate its scale so that it fits into the bigger scale of geary it is placed at the extreme southern side of the site. what that does for us is mitigate the amount of shadow falling off the building site itself. it also has a very salutory effect internl by. -- internally. it provides the elevator

platform in the lower portion of the hospital, very efficient as a way to deliver high-quality medical care and actually serves to shrink the overall massing of the building by the placement of the tower. turning to sheet 25, you see the site plan of both the medical office building and the van ness geary hospital. van ness is at the santa -- center of this be drawing and we're looking north in the drawing. the mental again, the commitment to sustainability. there say large roof scape. the lower sections along post, those are going to be used for extensive green roofs to manage both the water falling on the site and to retain and reufse it but also to provide a wonderful, calming environment for patient care within the building itself. there has been a he great deal of effort to provide very viable, friendly walkable street scapes along all seven

faces of the site. again the blue arrows on van ness are fairly extensive group of retail frontages. franklin generally has at least from the hospital 9 most of the systems organized loading and emergency access, the e.d. plaza which you will see is in the upper left hand corner of the site plan. cedar street is completely reimagined from cedar alley to a new major public throw fare. if -- thorough fare. if we turn to page 27, you can see on in view we're looking north on van ness. the burnham is to the rear of this rendering and you're standing at the southeast corner of the intersection of geary and van ness. the hospital again is scaled both, we believe, correctly and -- in the placement and modulation of its tower but also in the placement of the podium. the lower levels and diagnostic

and treatment levels of the building. here you can see the positive impacts of that 63-foot silhouette, the very low profile line. we're actually looking at the main lobby corner of the noss this rendition. if you turn over to sheet number 28, the facades of the hospital are a mixture of granite near the base of the building, matte color finish metal panels for much of the opaque wall surfaces and extensive use of glazing. hospitals of this type have a relatively modest amount of window area required for the room itself and relatively high floor to floor so the kurt tane wall, if you will, rising up in these renderings is our way of defusing the kind of scale and impact of that tower, giving it a little bit of lightness it might not otherwise have were it rendered in opaque material the this particular material

where you can see the lights on, that is our family rooms. there are two per floor. the view of this side of the building shows the main lobby at its base, that's a 37-foot- tall main lobby that provides for grade changes. we move uphill and extend about half the pass -- facade on geary to the main auto drop-off. then there are a series of views of the building projecting on. if you look at view 29, we are on the top of the store across the street. this is franklin off to your right and post off to your left so the burnham is in the left hand portion of this rendering and we're looking roughly southeast and you can see in this case the care to keep the portion of the building immediate -- immediately adjacent to the burnham as low as possible. again, it rises to about 65 feet off the corner and that is actually a reduction of about 30 feet off the current office

building. so even though the tower of the medical-surgical bedrooms rises higher than the existing buildings on the site, the actual buildings adjacent to burnham are lower and that will mitigate the sun impacts. the key feateer -- feature it a very large lail -- scale drop-off which provides a way down to van ness and a shortcut and opening in what is a relatively mean and unsafe current corner of the site. if we turn to page 31, we've moved downhill on geary. we're looking now back toward the west, which is uphill and you can see in the fore ground the medical office building. and it is very clear in this view that the stepping of those masses we believe is successful and kind of garnering the

height, if you will, of these buildings to fit into cathedral hill itself. so if -- in this particular rendition the medical building steps up toward van ness. you can see the gap of van ness very closely. then the hospital is in the rear of this view as you move up toward the crest of the hill on franklin. again the m.o.b. will be using a variety of concrete finishes, metal and glass finishes in the same vein, closely related to the hospital but not mimicking the hospital, we had a very interesting discussion with staff if you look at page 32, over the course of a long period of -- period of time about how these should be cousin buildings and not sister bls, so we wanted a character both compatible but at the same time each with its own identity. so the view again back from that corner at vanness and geary looking northeast, you can see that rendition with the medical office building coming up to the street and then the

final view in in sheet 33. this is actually from the terrace of the burnham and you're looking across in the fore ground. the lower levels of the hospital. there is a preliminary of a green roof on the o.r. portion of the hospital. the hospital tower to the rear. and then the m.o.b. you will see clearly in this drawing next tosh the concordia club with its large scale setback along van ness and the discreet building massing stepping down as you go down the hill, city hall in the contrary -- rear. this kind of view we're really looking south along van ness avenue. if you turn to sheet 35, there's been a very large commitment to expanding the public realm around all of these buildings. things like san jose avenue i think are going to be huge improvements to current

conditions. the same was true at the van ness geary site. this is a detailed site plaven the hospital and you are seeing 3 feet of grade change in one drawing so it's a little tough to represent but is the message is that in all cases we're trying to expand the public realm, sidewalks by lane takings, by reducing surface parking spaces, to provide everywhere we can an extra eight to 10 to 12 feet of sidewalk area, plantings, benches, tree cover -- cover where there is none now. organizeally franklin is on the left. you can see the gray striated area in the drawing. it will provide not only automobile but pedestrian access at that corner which i think will take a lot of the stigma off getting around that very tight setting the both at the top of this drawing and geary are parks, rain spt water gardens between the existing

sidewalks and the continuation of the curb. there are green screen walls to mitigate against the walls of the actual hospital. if -- in the middle of this be drawing is the automobile drop-off. now about 18 feet down from the left hand side of this drawing. this will be an environment that will take care of all car access to the site and provide relief for our loading and provide garage access so this drop-off is extensive and really becomes the main lobby for the building at this level 78 in all cases loading on the sites has been completely internalized. same is the case here. et -- our loading docks on frank lynch -- franklin are head in and head out and the same is true on st. luke's. at the right, you see the main abscess point off van ness, which extends the street scape into the building and the quality and scale of the linear

park. there are now a couple of renderings there -- that are a walking tour of the proposal on vanness. if you turn to sheet 36, we're starting at the corner of post looking uphill on post. ug -- you can see the shuttle van parking right off the right hand side of this rendering and van ness avenue in this case be to the left hand side of this drawing. what is in the fore ground is a wall fountain that will be inscribed with some interesting imaginary and words and granite behind it and it forms the base of our main dining room which runs the vast majority of the -- >> again, we really must ask that people not stand in front of the doors. there are a few seats over here. it's just when you are blocking the doors themselves that it becomes an issue. thank you. >> you are seeing the beginnings of the site work that separates you now from the cars on van ness, trees and

benches. if you turn over to sheet number 37, this is a view now looking almost directly south on van ness. you can see the hospital to your right and the m.o.b. to your left and really if you see where the benches and the people are sitting that's the existing curb line on van ness, so there is a substantial addition of landscape area, site work and benches between you and the traffic. we think that there -- will be a huge improvement for moving up and down the avenue. sheet 38, now looking toward -- to the west toward the main body of the hospital, the immediatian, where you can't stand but it's showing the dining room above and three retail kiosks that will provide a continuous store front for the remainder of that facade as you move to the front door at geary. the window wall itself is going

to be relieved in this corner with wooden articulation and should be quite a pleasean and -- pleasant and very correctly scaled addition to the neighborhood. moving to sheet 39, you complete the tour down van ness. you are now looking at the main lobby of the hospital so geary street is off the left hand side of this rendering. we're plooking due west, standing in van ness and the main door is into the 37 foot tall lobby. we have to move uphill towards our automobile drop f that i described mid block and there is extensive site treatment that is carried into this lobby. there is a fountain ane internal, to make that very continuous with the street around us. sheet number 40 shows a detailed site plan of the medical office building. the same logic as applied, the biggest kind of urban design improvement we think is really the reimagination of cedar

alley as cedar street. its focus is a major auto court drop-off into the medical office building right off of van ness. that's large enough we believe to be repurposed possibly as a function space when it's not in use during business hours but the entirety of cedar street will be remade with street trees, different pabing systems, planted walls, and lighting and really quite enhanced security to be quite a different place. the office, excuse me, the medical office building lobby is at the corner. you can see that label lobby. the remainder of the street facades with the exception of one garage entrance is retail and that's a very positive, i think, asset in -- and change to the character of the block. if you turn to sheet 41, that is a vision of how the retail would look if you're on geary walking uphill so you're walking west up toward the corner of the lobby and you can see the scale of that and the

ability through new pavement, planting, etc., to have a much more urbane setting as you walk up geary. the medical office entry is shown in sheet 42. that's directly at the corner and had discussions about the kind of power of the hospital lobby, the medical office lobby, the future rabid transit combining to make this one of a -- the really terrific intersections in san francisco. you're seeing to the left of this drawing looking north the ability to put real retail frontage in the medical office building. the glass wall of the office building rising directly above that. sheet number 43 is a view of the improved circumstances at cedar street. this is the main auto drop-off for the medical office building. again completely reimagined, repaved, planted, and quite a different kind of place than we see there today.

finally in sheet 44, you are looking from the east up cedar street and you can see what we think will be the real positive impact of a completely rethought environment, lighting, security vastly improved. medical office building is in the fore ground of this building. the hospital at van ness and geary is to the rear. you can see the burnham to the right. again you are looking west up the hill to franklin. we hope -- think the total of this will be a series be buildings that really fit in and have appropriate heights and character in all c.c.a. -- cases. looking at sheet 45 we believe will paint a really unique future for an institution. we practice all over the united states and we know very few institutions like cpmc who are able to spend this kind of money and have m -- this kind of effort to really contribute

greatly to the city of san francisco new and enduring facilities the thank you. president olague: thank you. we'll open it up for public comment. we have a reasonable comidations request. there were a group of seniors. i -- we have to honor that request. i don't know if they're in the overflow room. is there an overflow room? or are they outside? >> i don't know. they came in earlier but i don't -- president olague: we'll just come -- double check to make sure they're not here somewhere. and then i believe we had a 10-minute block of time request from the good neighbors coalition. so they would be the first to speak. i don't know if they're in the room or --

>> hi. president olague: we'll let you prepare. do you need to set up or anything or are you ready to go? >> no. we're ready to go. president olague: and you'll all have 10-minute blocks so if you want to come up and stand behind the speaker, that's fine. >> good evening. my name is bettina and i'm a community organizer with central service collaborative -- president olague: if you can move the mike closer. >> oh, i'm sorry. i'm a community organizer with central city collaborative, part of good neighbor coalition. we actually have a presentation with different coalition partners so we'll be doing a joint presentation from

coalition for house planning and job. i'll introduce the first speaker, george. >> thank you. i'm george maier. i live out on the great highway but i'm speaking to you today as a representative of the cathedral hill neighbors association, an association of residents and churches including the one a tend most sunday mornings. i'm here because the leaders of the association is are all out of town, but i do have an email to relay to you today from our president, marlene morgan. she asked me to emphasize three points. first, despite the multitude of comments on the neighborhood and environmental impact of this proposal we still don't have the response to comments back from the department. her second point, c.h.n.a. cannot effectively analyze the design impact of the cathedral hill hospital and medical office building on our

neighborhood unless we have the opportunity to examine this project as it would be changed by alternative 3 a. marlene's third point is that despite having submitted a request to cpmc through the mayor's office of economic and workplace development over a month ago to see drawings and studies of about -- 3 a we have to date no response. to marlene's comments i would like to add this observation speckly related to architecture design in the public realm. the size, mass -- and mass of this colossal building will overwhelm the cathedral hill neighborhood both visually and with negative impacts. it's the equivalent of a bulky 26-story office building and in my view is just plain too big. >> hello, everybody. my name is is clifton smith is and i cannot see a thing.

>> good evening. my name is ronnie dickins. i'm a resident of the tenderloin community and organizer with the central city sro collaborative, a member of the good neighbors coalition. i've seen the streets of the tender loirp used as a highway and already speeding traffic. i'm concerned that the cpmc current proposal does not address these traffic issues. we would like to implement the little saying ison tenderloin study which was done by the city in 2007. which has several is traffic calming measures. thank you. >> thank you. my name is clifton smith.

i'm a resident of the ir 0 quoice homes and member of the good neighbor coalition. the good neighbor coalition has been working the past year to make sure the cpmc is built the right bay -- way. our talks can best be described as grid locked. the hospital only wants to do ideas that they think they can make a profit off of president our dialogue with the hospital is just one thing that has budget -- become grid locked. if the current plan moves forward without compromise the sur is owneding neighborhood will be grid locked as well. the design and size of project will have dramatic impacts on the surrounding community, particularly on traffic. if cpmc con -- concentrates too much traffic in the cathedral hill area it will end up gridlocking public transit. a few blocks from the sight, the 38 geary, the 38 geary l and the van ness and the new

bart and the jackson bus line and the center bus line. if the parking gramings -- garages for the hospital and office buildings are too big they will create devastating impacts that make it more difficult to drive in this town, further delaying public transit. those are some of the major reasons that a gsh 3 a for a smaller hospital on cathedral hill were described as environmentally superior. obviously we want cpmc to design new facilities designed to withstand and earthquake but to put all the facilities in one place will make it harder for citizen ises to get medical services after an earthquake if the roadways are compromised. it's just common sense. >> good amp. my name is paul wormer and i'm doing i guess the final portion

of this thing. one of the big issues is is size of an operation and that's really use intensity. the number of unit -- activities that go on per unit of time. an important thing to recognize about the hospital operation, there are a lot of activities but it's be uniformly or levelly scribted over time. that means that it's traffic becomes very intense not just to commute hours but throughout the day. we've heard testimony about the racetrack conditions that already exist as someone who drives more than walks through that area i can testify to those racetrack conditions. i live close to the pacific site of cpmc and i have been working with cpmc representatives since 2002 on issues of traffic and traffic calming and traffic management. recent examples that come from

neighbors that are part of my little group are the you turns at buchanan and clay -- the u turns at buchanan and clay. a continuous problem. we have raised this repeatedly. we have been unable to get activity between cpmc and the city to even monitor this problem and determine what level it is, let alone put in place appropriate controls. we have repeated problems with traffic going the wrang -- wrong way up the one-way section of clay street because it's convenient for the drivers who are visiting cpmc and picking up cpmc employees. again, no ability to get that addressed. yes, some is signs go up, but they're not solving the problem but we've put up signs, what more can we do? so there's a failure to manage basic traffic issues. even in areas where cpmc has nominally a high level of

control such as the shuttle buses the driver behaviors are not at a level that one would expect. i see more than enough of course those shut isles running lights that are distinctly more than orange. the instant be walking across california street with a neighbor of ours who has parkinson's and walks slowly and having the shuttle boss -- bus bombing down the hill honking at us because we're still in the intersection is after they had received the green light. the shuttle bus for cpmc pulling out into pine street in front of on coming traffic making a right turn on red even though the traffic is is not clear -- these are repeat and continuous issues. the traffic intensity problems reality -- related to the hospital are real and that is a function of scale of operations at all sites. and that needs to be considered. thank you. glch thank you.

president olague: is that the end of your presentation? ok, thank you. and we did locate two seniors. and i was going to ask you, mr. tracy, are there more seniors you folks have? because i know we got that request. gloria salazar and evangeline begares. and we need to ask that people clear, you know, make sure the doors are, you know, clear. we're going to limit it to two minutes because of the number of speakers we have. so we'll be here all night otherwise. and that would be fine but -- >> hi. good morning. good evening. my name is is gloria salazar. i'm resident of tender lyon and member of tenderloin fill in -- fip iino american association.

as a resident and a community advocate i'm very much concerned about this huge hospital being built in our neighborhood without, with sufficient addressing the traffic impact that it will bring to our community. i'm a senior and use public transportation. with this huge project i'm sure it will create more problems than solutions to our mass transit system. i can only ask you, dear commissioners, to ensure that cpmc will address all issues being raised by our community before it is approved. thank you. president olague: thank you.