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 the on the of the photos or renderings, that is a big factor. two of the three most dense

lines in the city, two of the streets that have been designated have been on the books for 15 years. it is priority for the city to change the ways buses will run. so why can't the smith group factor that into some of their renderings as though it might happen. the loading also is ignored. it is all of this that is not in the real world. also, where is the tunnel rendering. we talk about this wonderful pedestrian visit that is going on, but at the same time, they don't want it. >> good evening, president.

i am speaking on behalf of dr. but buckley. -- bob bukclye. -- dr. bob buckley. i have that a psychiatrist for over two decades. they received a unit that seems to be a danger to themselves and others. you can stabilize them and transfer them for follow-up. those facilities are rapidly being a eliminated. the plan includes zero beds and a new procedural facility.

they struggled under the crushing weight of the emergency unit that is graded for 18 patients. it is dangerous to patients and staff. saint luke's used to be the overflow valve. that is when there were acute patient beds. the psychiatric unit since 2005 last year, the relocated in the geriatric psyche and it. where they intend to close. thank you. president olague: if there is

additional public comment on this item, please come to the microphone at this time. >> we have a physician on the way and he is stuck in traffic. >> we will have to close the public commentary. >> we can read for him. president olague: two minutes. it is fine to represent someone else. >> i am here to present the membership of the organizing committee, especially my colleagues have served as a director of pediatrics, and i am still working. i can attest to the psychiatry.

occupational medicine and other services. it is a wonderful thing, but they also managed to struggle a lot of the hospital. they will provide, for example, the intensive care nursery and occupational medicine. this has had negative consequences to both buy and patients and their working-class parents. we have members of the planning commission exercise your provisions to save the low income working population. it also makes no sense to transfer services from a hospital to an upper class area near downtown. the plans before you do not reflect community medical leave.

today is bike to work day, and it is significant because transportation is a major issue. it is basically famous for the permanent traffic jam in front of it. the only other people in southeastern san francisco that have a difficult time getting to it, my colleague and a psychiatrist and i met with the only physician on the health commission that spoke to several points and resolutions. [chime] president olague: you are welcome to submit those comments if you like. is there any additional public comment? public comment is closed. commissioner antonini: thank you.

i appreciate all the comments. the one the found the most meaningful was from john, the architect that says the art and science of medicine is constantly evolving and buildings must adapt. i am thankful that we're looking at a project in which they planned to invest $3 billion in the economy. our job is to make sure that we address concerns, but overall, this is a terrific project. let me talk about the size and i think the topic was supposed to of been for. going to them briefly, i think it was extremely well done. i don't have any comments on that. st. luke's, i think it is very well done. also, i think the part of the hospital element there, the

largest part of the element is a little bit started with the way it is designed with the white walls and windows that are just sort of perched on there. i think that can be improved a little bit architecturally. the rest of it is certainly good the way that it opens up to the neighborhood. i think that is great. i don't have allot of commons for the medical office building. or rather on the hospital itself. it could certainly use some refinement here and there architecturally. they did a very good job of articulating the height, the perceived tight with the buildings. but on the area side, there isn't any kind of the fine to break between the height of the hospital and the adjoining building.

i am not saying that there has to be a big setback, but architecturally, will fill a lot better if a some sort of break at that point, some sort of element that would be more respectful of the buildings on either side. also, some of the upper floors of the building of the kind of portrayed a 50s type of architecture in my mind, from what i could see. and there was a side of it that had a checkerboard pattern that unfortunately reminded me a bit of the one that was not too successful. the overall design is pretty good. some of the elements of think me a little bit of refinement to make what i believe is a good, green, thought out design that works. while i am not being critical of

the way it is brought together, mainly just of the design things. that is what we were talking about, the 63 foot hospital at 63-65 feet through most of that. that is what i would like to see. i realize it has to be higher at the aspect. i think it would be a lot more respectful. briefly, some other things that came up, i asked earlier today during the hearing, what is the geographic center of population density. a budget is pretty close to where this hospital is planned on. and if you do some figures, i think that this is the perfect place to put the hospital because it does put forward access equally from all parts of the city as well as outside of

the city. a and the traffic can be mitigated. i think they provide lots of parking which is very important because a lot of people will come by car. even though we encourage them to use public transportation, that will be the largest amount of ongoing traffic spread over a 24-hour cycle. if people can get in and take part, i don't think it will be as bad. a month and the traffic will be as severe. you may not have as much traffic, but you have fewer streets to accommodate. i think the plan is a good one. i was asked why we haven't had more answers on the alternative analysis that was done in the economic impact.

you don't have to necessarily address each one. this is the plan that is the preferred option. this is the one that we have to direct our attention to. there was another comment about having a single rooms. somebody correct me if i am wrong, but because of various privacy requirements, hospitals have to have exclusively single rooms. that is what i have been told. this is the perfect economic engine to push an area that has a lot of vacancies. what we really want to see, we want to see traffic and activity and employment. but we don't want to see is stagnation and empty buildings. i do have a question that was i do have a question that was raised numerous times about