perspective it's important to look at what sutter provided before theythe second hospital d a few years after and the stated mission was revolutionary. st. luke's is to be a charitable hospital for the reception of all colors, nationality, and creeds. it used to have 55,000 people a year on an inpatient basis. the treated over 14,000 a year and provided through the thousand dollars. the services were documented in this list from the year 2000 provided as part of the settlement for the anti-trust a lawsuit for undermining st. luke's with illegal business

practices. compare this to the original agreements. only in a red that we could keep our mission statement, keep our charity care hospital open, [chime] president olague: your welcome to finish your comment, also. >> i support rebuilding. i have a sustainable as i and later in 7 it is, and the system will architect for the rebuild. with the encouragement of the seventh is the department of the environment, the design teams of shared and pushed each other to create a hospital designs that are sustainable.

in my professional opinion, how the system will design is at the leading edge of sustainable health care design including energy and wider saving goals and strategies. they will tremendously at home to the entire city of san francisco. i support rebuilding. president olague: [reading names] people can start coming out to the microphone when we call your name.

line up over there and start coming up to the microphone. that would be great. [reading names] can you please start coming up to the mic? >> i'm a registered nurse at st. luke's hospital. including being a patient myself, i am concerned about access issues. my concerns about access would be addressed with the far superior alternative, taking away some of the problems associated with traffic congestion and overall traffic flow. as the current plans to stand,

emergency vehicles that included ambulances, fire department, emergency vehicle will be hindered in due to the increased traffic congestion generated by the 550 bed hospital built a one of the busiest intersections in the city. there are well over 26,000 patients a year. many come with little time to spare. any patient having suffered a stroke, heart attack or any patient brought in sometimes only has moments of despair. many use public transportation or come on foot. the child had at procedures. following the construction of a location and routine that gridlock, and can only be

likened to a nightmare. in my professional opinion, this is not acceptable. >> i have to read my own handwriting. >> i have worked at st. luke's for 38 years. i have a simple person. i'm going back to the blue ribbon process and i am wondering, what happens to the center of excellence that was supposed to be part of that project? we are clearing house. we have the patience, the poor, the incomes of the economic distress. people that cannot go on. i am still wondering, where is the center of excellence for the blue ribbon panel. i am also concerned with the

monopoly. where does that leave places? we'll still remain a clearing house. we have no real resources. nothing really to offer except really, it is a terrible thing. i am still wondering about the plans for the nursing facility. i know it is not in this current plan, but there are people that live there. they are alive, they have feelings. i'm wondering what the goal is for them. i will ask the architect, is their plan for a cafeteria as well as a dining hall? i know it has gone back and forth. i heard about fine dining up and down, and i am wondering, are we going to have a cafeteria or a

kitchen? >> if you can ask that after the hearing, we'll ask during the discussion. >> good evening, commissioners. i am the general manager. it was a residential and commercial condominium building. we have 245 residential units. our residential population is approximately 300 people including the number of children and elderly people. many tenants are in the medical profession. by surgeons, plastic surgeons, veterans and others the use extremely sensitive equipment. it is literally surrounded by

the cathedral hill project. to the south of our building is the main hospital. to the north is the medical building. across diagonally [unintelligible] naturally, our resident and tenants have a number of concerns about what it will be like to be surrounded by this extraordinarily unusual construction project for the next five years as well as a long-term impact of the buildings will create for our community. please be aware that my commercial tenants cannot pick up and relocate tir offices elsewhere during construction. they have signed leases and the patients and clients have grown accustomed to the location. we ask that the construction process does not put into and

out of business. these discussions are moving very slowly. we have voiced reasonable and rational concerns that the product will have. i am here today with over 200 signed the letters from residents and attendance. >> thank you, members of the planning commission. i am speaking in support of the rebuilding plan. i am primarily in the capacity of a neighbor. i bypassed the current facility routinely and my family's social and recreational lives are primarily in the corridor. i will direct my comments primarily to that proposal.

i like to address the architecture and urban design qualities of the proposal. it is not typically easy to integrate a large institution. in the case of the st. louis's portion, i believe that through the generous attitude towards the open space and support of program organization, the design team has crafted a campus that will work in this corner. in the residential scale, it makes sense for a potentially the verse streetscape. it allows for the life of the sidewalk to course right into the institution. this is in the tradition of the gardens of san and it is. as a seven siskin that is proud of the street life and public

realm, our ability to support the public life, i believe this proposal passes that test. >> the evening, members of the planning commission. i am here today to support the design proposal. as you might know, they have been involved in several stages of this process and actively advocating to reinforce facilities for a seismic event. it was made a fairly clear by their presentation, they have had an extremely hot location sensitive approach to have these facilities interact with the city and how people interact with them. they're taking steps to not only improve the viability, but they're taking an honest approach and an honest interest

out they can improve capacity and quality of care as well as their position throughout the city. have undertaken a thoughtful process. what might be more important is that the proposal will allow them to maintain capacity throughout the construction process. i urge your support. >> i retired about 15 years ago , i was involved in the development of midtown atlanta. i see very similar happenings here. the business association in the planning board there. major projects to invigorate a city and invigorate areas. this particular project is

excellently located. it is good design. it will be a vital force for the redevelopment. just recently, the agency is closing on them. it is because of the current wave is. because they have developed to become more efficient traffic pattern, we're thankful that they are doing that. the energy discussions with the neighborhoods trying to address the concerns, i believe in good faith. we were also and 7 it is what i tried to retire. i've been impressed by motorists and getting out of the way of emergency vehicles. the concerns about traffic and

passage of emergency vehicles i believe is overstated. there is a network of clinics have mentioned that some of the discussions that i did not hear in the presentation. there will be a way to move the more critical people and the more critical patients to this facility. >> i am not hearing a lot of opposition to a hospital. what i am hearing is opposition to the size, the traffic, and congestion at the hospital can create. there were over 150 impact. because nearly 2/3 of those traffic impacts in our transit

system. it will cause 100 significant identify impacts. identify the other numerous impact and the flaws. 30 identify impacts, for the city to approve this project, will have to adopt a statement of overriding consideration. the serious impact on traffic, a pedestrian, transit, and parking. it is already operating at a level of service of s. there are more trips in the already congested area. it is particularly concerning for a hospital project. this is literally a life or death matter. delays for patients requiring immediate care, it is

potentially worth giving accidents and other events. experts have shown that all significant impacts could be eliminated or were they to reduce the project side by 1/3. and importantly, a campus that would not result in any significant traffic impacts. the currently generates 32% of the emergency room business. we know it is an underserved quadrant of the city. it is likely to small for the hospital. >> i am a registered nurse at the nurses' association. the plans are unacceptable on many levels. while the alternative of a

larger st. luke's is essential in addressing many needs. it is a major thoroughfare and part of the state highway system. it is very heavily traveled. on any given day, there are factors making this street complex. cars making right turns, meter street parking, pedestrian traffic. the cars move at a regular pace. it becomes dividing the west side of the avenue with the east. they must navigate around a traffic so that even a what signal, there is an inability to move. another major thoroughfare running almost entirely east- west, although traffic tends to move at a more regular pace, one still has to deal with heavy car

traffic. constructing a 555 bed hospital at this intersection would create an impossible traffic flow. shuttles, mortuary, patient drop box, families, volunteers, etc.. medical equipment, deliveries, i could keep going. it does not even begin to address the hundreds of thousands of hospital workers that will come to work every day. it is imperative that you don't give your approval until major changes take place. the alternative plan supported by the community coalition and the major unions represented -- [chime]

>> good evening, commissioners. i am still technically a member, and we spoke to the group neighbors. what should i do. i am happy to just >-- president olague: he can speak. it is the brown act. >> the height of the proposed hospital is there given the total number of spots. it was broken up and volumes. it really recalls golden gate ave.

it will be much better if the program could be distributed months ago. and providing a medical access to other parts of the city. i think you again. president olague: [reading names] >> my name is richard may, and i just wanted to make sure that there is a dimension of the housing and that will be displaced by this very large project. i know there are plans to replace what ever housing is taken off of the market. my concern is also the portability.

i want to make sure that the housing they replaced it with is also under rent control. as you are aware, any building after 1979 is not under rent- controlled or rent stabilization as if its. i just want to make sure that the housing that is replaced is also as affordable not just to the current tenants, but you sense afterwards. if you have any control over that, making sure that the housing, make sure it is under rent control. >> tireless support building a safe hospital. they have plenty of campuses to

do it. they need to pay attention to the plan. look at what has been done under the plan. all those residential buildings with or without commercial space below them, if they want to build their, they have to pay attention to the plan. it does not accommodate hospitals, but they will be there. they cannot be over the 130 foot height limit. they cannot post a the kind of traffic impacts. the plan is for housing. i suggest that you might want to take a look at it because it is a brilliant piece of integrated city planning. the neighbors were basically supportive of it. obviously, they are not housing

developers. they can have the housing be built on specific areas. we can all be affordable housing. and if it is all affordable housing that they are funding and someone else's building, it doesn't necessarily have to be the three for one ratio. the traffic, we can't have that. those are one-way streets. you heard how congested they are. it takes me two hours to get over to the mission. for a half hours round-trip trying to get to apply i never got to because it rained. and when the wind blows, i really thought i was going to die in the middle of the street. i am stuck out there in the middle with all that traffic.

>> members of the commission, i will be very brief. it was helpful to hear and see what they said today. in terms of understanding the design issues, i assure the it will be helping you frames and of the questions that, as we go along. there are individual elements that i liked. but the size is the issue. this is what it will be about here on then. i know a number of people asking why we couldn't see a virgin -- a version. you can, thanks to the wonders of photoshop. if you can pull back, it doesn't come across very well, but it is very easy to do this. this is three floors of the initial rendering. you could ask them to do a

professional job of showing what it would look like. i apologize this isn't coming across as quickly. but you get how it relates to each other. and what would be really helpful going forward is to have this information for the public. i would ask for you to provide this kind of information. i'm sure you have very talented people on staff that are good at photoshop. >> have a member of the court. the board of directors. every day, i am asked by residents how things are coming with mitigation issues. until thou, i was hopeful that we would be able to reach an agreement.

our community of over 300 residents will be directly impacted by this construction process. 7:00 a.m. to 7:00 p.m. on fridays and saturdays. here is what they have to look forward to. over 100 days of heavy construction. noise levels 200 times what they are today. traffic congestion during the construction and throughout the operation of the hospital. our homes are not air conditioned. we have to open our windows for ventilation. this will make things worse in the units. opening windows has the added effect of letting dust and fumes into the site. our resident that has made their home their lives. thou from their bedroom and

their living room, a construction project is about to begin. we hope to address these very real concerns for our residents and tenants. only through the cooperation in this process can it be improved for all the call this neighborhood home. >> i am a registered nurse. i am also with the mission district. i strongly believe mission residents should have health care access in the mission district. south of market has an of care south of market.

the kids come visit her. even though physical distance between them and the hotel is short, it takes 45 minutes or more. visiting the cathedral hill, it won't be easy, especially for families with children and seniors. the increase populations of the market, it should be better for residents to support the growing population. i see these for all no matter what. bank you. >> is there any additional public comment? >> and has already been

approved by the commission initially. that explains if they are changing it from the previous approval. the slide show was interesting, but it is also very selective. you never really saw the entire mass. it was very professional. this project really is appropriate. you should have a project that explains the corridors. he did not have any presentation of a project that would comply. it is appropriate when you have a design presentation. you have what they want, but you don't have what the code requires. of some of