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. >> i am a resident of tenderloin for 24 years, a senior and a member of the

tenderloin filipino-american community association. as a roipt and active member of the filipino community in the tenderloin i believe that the size and location of this project being built in our neighborhood will surely create negative impact to our community if not properly addressed. the traffic situation will definitely worsen due to influx of people coming in and out of the hospital, causing gridlock along van ness while turning our neighborhood streets to virtual highways. right now the traffic there is congested. how much more if the hospital is built there? the safety of the residents, especially the seniors in the streets of our community should be considered in this plan. one problem with cpmc is that they don't want to engage the community in a productive dialogue to address our concern. what we want it -- is for this

project to also serve our people. cpmc's record in serving low income people is the lowest in the city's hospital, especially medical insurance beneficiaries without me. it's not our choice to have is medical insurance and we don't want to be treated like second class citizens. how can we support this project when cpmc doesn't even engage us in a fruitful dialogue? what we want is a clear resolution of the issues raised by our community. during my talks with cpmc until now it's dragging and no result has been found. what we want is for cpmc to open its doors to the community. that's why we are still here until now. thank you very much. president olague: thank you. those are the only speaker cards we located for seniors so we'll start calling all others. david mechanicel, bob kaplan, mark mitchell. followed by stanley seyfried.

>> thank you, president olague and members of the planning commission. my name is david mechanicel. i'm the director of research and planning at the california college of the arts where i founded san francisco's first professional architecture program 25 years ago. my expertise is in city planning, urban design and architecture. in my professional opinion the cpmc architecture design and public realm improvement work is smart, sustainable and urban ifert lickly sophisticated. if it's hospital beds were transit and people are located and does so in a way that enhances street scrapes, roof tops and solar access to surrounding properties.

the long range plan places scales appropriately to the surrounding urban context to pacific heights, the triangle and district neighborhoods while concentrating the highest concentration of beds and services at the van ness and geary location where the infrastructure will best accommodate them. the van ness location used a very innovative drive -- mid block drive through and drop-off to move traffic -- remove traffic queuing from the surrounding streets is, which to my mind is the first time an urban hospital in california has integrated this into the footprint. the hospital building type is inherently inefficient with respect to energy use but filtered outside air, extensive day lighting, natural nontoxic building materials, dwreen roofs for the people and

missing suspiciousies habitats, irgration -- irrigation, storm water capture, etc., will enhance san francisco's climate commitment while healing our community. while i'm not a structural engineer i cannot help but mention the seismic improvements especially in light of the recent events -- president olague: thank you. >> thank you. >> good evening, commissioners. my name is bob kaplan. i'm a neighbor of the site of the proposed new cpmc inpatient facility and accompanying medical building. my company and i made a strategic decision to invest in the neighborhood because of its design amick nature. i've watched the van ness corridor as building after building has closed their doors.

we've seen the closing of california pizza kitchen, mercedes-benz, the market site on franklin has been closed since 2006, circuit city's space remains vacant and there has been an unsuccessful effort to attract a grocery store to the area for four years. these projects have components that go -- would have served the entire community. the stalled galaxy community though the -- theater project included a trader joe's grocery store. we believe the cpmc project will serve as an economic engine to help revitalize the entire corridor. 1,500 new construction jobs and significant newspaper services into our neighborhood. diverse services that would benefit the surrounding community would include restaurants, health and beat. -- beauty shops, pharmacies, bake eries, card shops, and

other retail uses. the 24-hour nature of the hospital will help stabilize the neighborhood and make it a safer environment for everyone who lifers and works there. the e.i.r. also addressed the unprecedented work of the blue ribbon community. the e.i.r. incorprates every recommendation of the committee. the cpmc has proven itself to be a good neighbor to the community in developing its long range plan. in closing it's vital we have a seismically secure hospital. thank you for your attention. president olague: thank you. you got it in in two minutes. that's pretty impressive. i read off four cards. i'll keep reading. john milsap, lance bayer, jason nitutski, em -- amelia luceon.

>> good evening. mark misch -- mitchell. the labor representative with the california nurses association representing the nurses at the cal campus of st. luke's and in san mateo county. one of the observations i made sitting here is in all the renderings there were no scars -- cars and i think the street scapes and placid, you know, atmosphere will actually be very different since van ness is u.s. highway 1. it is the way that i go when i go up to november ato to visit those nurses -- novato to visit those nurses and i know it does not look like that during waking hours. the other observation i wanted to make as someone who just toured the mills peninsula which is going to open this sunday, built by sutter as -- tanned -- and has a very similar aesthetic and the state

is actually considering thrage it because they put the -- put the lab and food service in a different building not built to the seismic standards not required of an acute care facility. so there's glitches. when they say there are two separate things they're actually taking parts of the things required to have an acute care hospital hand -- and putting it in the buildings not built to the standards required. the other thing i wanted to mention is perhaps the reason this building is so enormous is they may be doing the same thing they did in burlingame, turning an acute care hospital which was generally double rooms where a nurse would be walking down the haul and have two patients in a room here and here and when she's visiting a patient she's within earshot of three other patients now sutter is going to all single rooms for the patients and the nurses stations have within -- been broken up from having a central

nursing station from each unit or floor to four tiny pods and the nurses stationed at each pod may or may not be physically near the patients they're assigned so serve. the other issue is with the hospital down there which i think will be repeated is the distances the nurses and patients will have to travel for treatments and services is much, much greater and times for nurses and physicians to be at the bedside are greatly reduced because of the enormity. we urge you to look at option 3 a instead of this gargantuan proposal. >> thank you. president olague: i called a few names. if you could start coming up to the mike. >> thank you. my name is john milsap. over 10 years ago i was cpmc's executive architect for this project. since that time i've been an independent consultant working with the california health care foundation and others. i led the best practices effort

with -- and was responsible for the selection of the cathedral hill hotel site and i support rebuilding cpmc. it's important to understand the significance of this location and the new st. luke's. first is the ability to create structurally safe buildings on green field sites separate from daily operations. existing services must be ontained to -- and in the past major earthquakes have occurred around the pacific rim. it's critically important that our most vulnerable patients and the people who verve them be housed in safe buildings. this will fulfill cpmc's commitment to safety. second, the accountable care organization 0 approach proposed by the new affordable care act locate care for the sickest patients at centralized hospitals such as van ness and

geary. rather than locating food service on an interior court yard its location on van ness energizes the street scape while still providing a modicum of privacy to diners. additionally, as san francisco's second largest employer it lies on one of the best served transit corners, making it an ideal site. increased birthing services are provided in a community friendly environment. they will have the sime -- same private patient room size as van ness and geary. these two hospitals are vital to san francisco's future. a great city needs the finest in health care and i ask for their approval. thank you. president olague: thank you. >> good evening, president olague and commissioners. my name is lance bayer and i'm a san francisco resident and i am sin