secretary avery: this is the 5:00 calendar of the planning commission meeting today. before we get started, and i

that, the room is crowded. it is very important that you cannot block either of the monitors and that you not block the doorway. we cannot allow the public to come beyond the railing on either side. if you could respect to that, i would appreciate it. i will ask you all to turn off your cell phones and electronic devices that may sound off during the proceedings. in crowded rooms like this, it is real important that if you feel the need to engage in a secondary discussion that you take your discussion outside. it becomes extremely disruptive to the process. if everybody could respect to that, we will very much appreciate that. we will not be able to get an overflow rooms until 6:00 p.m. until then, we have to live with each other and be respectful of each other. thank you. roll call. [roll-call]

secretary avery: thank you, commissioners. at this time, you have before you california pacific medical center long-range development plan. >> thank you. good evening. i am elisabeth with the planning department. if we could have the overhead, please? tonight's informational presentation is the third of five scheduled hearings on cpmc's long-range development plans. at tonight's presentation will be divided into two parts. the first half will include the land approvals necessary for the cpmc project to move forward and responses to most of the questions raised at the informational hearing. the second half of the presentation will include an overview of the city's half of the development agreement. we have staff from several city development departments that

revolved around their respective agencies. before we get started, i'd like to outline the upcoming hearings that are currently scheduled for cpmc. the next hearing is scheduled july 14, or will present a draft development agreement, along with the revised plans based on the feedback provided at the may 12 hearing. we also have the initiation of the planning code in general plan amendment scheduled for that hearing. certification of the final eir and the land-use approvals are currently scheduled for about a month thereafter on august 11. the first half of tonight's presentation is organized campus by campus. this includes general overview of cpmc land-use approvals. we're still fine-tuning some of the approvals, so there may be minor changes in the coming weeks. we will start with st. luke's. the new hospital and medical office building at st. luke's

require land use approval for the need of a general plan referrals to about street vacation for a portion of san jose avenue, creation of st. luke's sud, change of the parcel and will change the height and bulk designation to 105-e. there are several conditional use authorization required, including modifications to the existing planned unit development, the need for general plan amendments to make conforming height changes to 105 feet, office allocation for the medical office building, and several other approvals from other city departments. at the may hearing, the commission requested a comparison of the existing and proposed hospital facilities at st. luke's. this slide show some basic numerical comparisons that relates to the size and capacity.

of the two to nine licensed beds, at st. luke's, 150 are licensed four acute-care. of the 229 beds, 139 are in use. at 60 of the 150 acute beds and all 79 skilled nursing. the project proposes 80 licensed beds in single occupancy rooms that are expected to generate a higher occupancy rate. the emergency department will increase by 70% and the outpatient care capabilities will more than double. at the may hearing, the commission asked for a comparison of the existing and proposed medical services at st. luke's. there is a memo that outlines all of this information. in summary, this slide shows most of the existing inpatient services will be retained. st. luke's inpatient psychiatry unit was closed in 2006, and all of the inpatient psychiatry services systemwide are

performed on another campus, and there are no changes proposed in this project. there have been several recent changes at st. luke's that have resulted in increased services, as the services are indicated by the asterisks. this is a continuation of the inpatient service comparison at st. luke's, which shows the service line changes at the hospital. pediatric services were the required care is more than 24 hours stay. patients would be transferred to the geary hospital. the existing skilled nursing beds would not be placed on site. director garcia will go over the skilled nursing issue in more detail as part of the development agreement discussions. last, subacute beds will be eliminated and patients will be transferred to comparable facilities in the community. this will also be discussed by director garcia under the development agreement section of the presentation.

this slide shows the same comparison, but for outpatient services at st. luke's. there is no reduction of outpatient service lines proposed, but there are outpatients services that have been expanded, again, indicated by the asterisks. this is the continuation of the outpatient service chart. now we move on to the baby's campus. it -- for the davies campus, there is a small list of required land approvals. they need conditional use authorization and general plan referrals, along with a few other approvals from other departments. there was a question at the may hearing inquiring about the changes that have occurred to the babies project since the previous approval in 2007. in summary, there have not been any substantive changes. it -- with the babies project.

-- with the dacies project. the sidewalk has been modified, but the building itself has not been changed. now we move on to the van ness and geary campus. the project requires several land-use approvals, including general plan amendments to the van ness area plan to support a high density medical campus, a general plan referrals for the tunnel under van ness avenue and the lane reconfiguration, sidewalk widening, and underground storage, creation of the van ness medical subdistrict within the van ness special use district to allow increased floor ratio at the hospital side from 7 to 9 and at the medical office site from seven to 7.5. and to allow projections over

the street, reduce tight for the loading spaces at the medical office building, and to allow block modifications for conditional use. it also includes mass amendments to all-out increase height from 130 to 265 feet, and there are several conforming map amendments to go along with this. there are several conditional use authorization is requested, including additional unit. a conditional use for demolishing five housing units and to allow modification within the van ness special use district. also, allocation is required for the medical office building, and there are several other approvals from other public agencies. i will touch on the caltrans approval for the tunnel in just a moment. at the may hearing, the commission requested a comparison of what was driving the size of the facility at van ness and geary. although cpmc has indicated

that the program at van ness and geary is primarily driven by the consolidation of inpatient services at the california and pacific campuses, this slide shows some of the basic numerical comparisons that specifically relate to the size and capacity. between the pacific and california campuses, there are a total of 594 licensed beds, 295 of which are on average occupied. the proposal is five under 55 licensed beds, all in single occupancy rooms -- 555 licensed beds. the existing of patient care capabilities will mostly remained at the pacific campus, resulting in only a small amount of outpatient services at the van ness and geary campuses. at the may hearing, the campus request -- the commission requested an analysis.

this chart covers the major components of the van ness special use district. the medical center, the height as proposed to be increased by 135 feet, the bulk propose to be modified through the proposed medical subdistrict and conditional use, the proposal to increase the hospital side from seven to 9-1. the required three-one housing requirement to be modified through it conditional use if certain findings are made by the planning commission, as is the case with residential demolition is. cpmc is requesting c.u.'s for both and this will be discussed in this presentation. at the last hearing, the commission asked for a graphic representation of the project,

juxtaposed to the code complying project. this slide shows the comparison in the form of massing diagrams. the image on the left is the existing hotel. that is slightly taller than what is a code complying, being approximately 137 feet, and it exceeds bulk limitations. the middle is the hypothetical massing diagram, meeting the code requirement, meeting the bulk limitations, and meeting the seven-one that limit. the image on the right is the massing diagram of the proposed hospital project at van ness and geary, two but a 65 feet tall on the southern side of the site, requiring modifications to block and includes sar of 9-1. -- it is at 265 feet tall. this slide on the left is the existing development along the project site.

the mittal diagram is the hypothetical project that is a code complying meeting the book limitations. the third diagram on the right is the proposed project which is code complying at 130 feet tall, but not meeting the bulk limitations and exceeding the the sar by 0.5. idoes slide shows and television how the hospital compares with the code comply at the height limits. the image on the left is the view of the hospital from van ness. the slide on the right represents the view of the hospital from the court looking south. on the obligation on the right, the tallest most portion of the diagram is in the background, and the massing is along the north elevation, shown by the lower-level below the height limit. this is the same elevation

comparison, but with the medical office building site. on the left is looking north from gary. on the right is looking east from van ness ave. at the may hearing, there were questions about parking. this slide shows the existing cathedral hill hotel and office buildings compared with the proposed hospital as it relates to parking. the bottom chart shows the project is a code complying with regards to parking. last, at the may hearing there was a question about the status and the likelihood of cpmc obtaining the necessary approvals from caltrans of the underground tunnels that connect the hospital to the medical office building under van ness ave. in short, caltrans has issued a conceptual approval letter for the tunnel based on a few contingencies. that concludes the first half

of tonight's presentation, and now i would like to turn it over to the office of economic and workforce development. thank you. >> good afternoon, commissioners. that has been my task to work with cpmc and the other stakeholders to negotiate the development agreement which will memorialize the benefits that cpmc receives from the city and provides for the city. since you have seen a few proposals later, i will not go over the basics, but i could do that if you wish. on may 16, the city issued a detailed set of requests for cpmc in return for the long range development plan. this was a few weeks ago and we are in the process of discussing each of these in detail with a hospital. there are no agreements yet, and we cannot finalize the development agreement until there is agreement. but we are presenting tonight is

an explanation of the city's staff from the different departments. one thing i wanted to emphasize and i hope is apparent from the presentation is each and every portion of the request arises out of months of discussions within the city family about the best way to ask cpmc to respond to the impact of the project and to do its fair share to meet the needs of sansome systems. project of san francisco residents. as you know, under a development agreement, but the city and project sponsor receive benefits. on the screen above, these constitute the majority of benefits that cpmc would receive under the development agreements. in addition to these approvals, as is customary with most development agreements, cpmc

approval at cathedral hill, said it looks, davies, st. luke's, was during a time where the city could not change them. we will go through the details of this further in the next hearing. i think it will be clear after this presentation just how much staff time and effort the various city departments have invested in making this project work for the city. this is because it is critical for the city in several ways. it creates two seismically safe hospitals when an earthquake occur at any time. it provides $2.5 million of construction activity, which will occur over the five years immediately after the project is approved. this differs from other large projects, whose construction and job-related benefits will out over a much longer time. with all of this discussions and debate around the project and what it should do and what it

is, i want everyone to remember that at the core, it is important the city. because it is such a large and ambitious project and require significant zoning changes, we need to make sure the project improvise benefits to address this impacts on all san francisco residents. several months ago, both cpmc and the community coalition asked the mayor to direct city staff to develop a package of requests represent what the city would like to see cpmc agree to through a development agreement they could support for the project. that request was issued to cpmc in the middle of may. during the rest of this hearing, we will be outlining it for you. i want to be clear that the city has indicated support for the project that cpmc has proposed and has been presented to you in previous hearings, as long as it responds to all of the items outlined on the slot above and

will be presented to you in a few minutes. this is still an ongoing negotiation process. cpmc is not going to agree to any of these -- is not going to agree to all of these items. the mayor has asked staff to spend time working with cpmc over the next few weeks to get to an agreement on how each of the points in the may 16 request will be met. the next time we are before you, we expect to have a draft development agreement that spells out all of this specifically to present to you. structurally, all on the screen, it met the approvals, it ties together the construction and opening schedules for st. luke's and cathedral hill hospital, specifies detailed health-care obligations, specifies the number of community obligations, includes a payment schedule for all the cash obligations, and includes cash obligations, and includes strong enforceability