they will assure the work is done, and i would therefore like to respectfully request that the board of appeals upholds a permit. commissioner fung: you did not say whether you were filing for a permit. >> i am very sorry. i am a bit death. -- deaf. commissioner fung: you did not specify if you were filing a permit. >> if that is what is desired, i will do that. commissioner fung: this could be to uphold on the condition that the second permit for the structural upgrade be applied for.

>> right, i would have no objection to that. director goldstein: thank you. >> thank you. mr. duffy? >> did evening, commissioners. the only thing -- the approved drawings would be brief, i do not know what we approved. i cannot get them from microfilm. they are not there yet. they are between microfilm and the department. they are just hard to track, depending on when the permit was issued, so i do not know what we originally approved on drawings, but i am happy to hear that there is a we strengthening being done, and, of course, a building permit would be required on that, and that would be inspected before going on with the roof deck, so if you

want to improve conditions -- and there is a photograph on exhibit 1. obviously, i have some concerns about the height of the railing, but that would all be covered under inspections for the building department. i am not really sure how that will work. i am available for any questions. commissioner fung: mr. duffy, has the department heard of large, flatbed scanners? sorry. this is a traditional issue. it takes months sometimes to go through. >> yes, in limbo over there. they are not on microfilm. they are just hard to find. president goh: are those different plans that we have in our path that -- packet?

i see, ok. >> they may be the same as approved, or not exactly. president goh: some kind of modification, when you have not seen it? >> i have seen the plans, which is what i think he is showing us, the plans that you have there for the proposed. that has not been approved yet, as far as i can see. president goh: so can you tell me how this goes on in the field? they removed the joists, then replace those, and then the specter comes before it is closed up and ensures that those additional joists were put in properly. >> everything you said is correct.

that is right. it would be closed up and re- roofed. at that point, the building would be watertight before you do the deck, and then you would put the deck on top of the new roof. president goh: and at what point is someone from your department there to oversee? >> the inspector would be there before the plywood is put on the main structural roof, which is the joist, the 2"x12" joist, so the inspector would be there before it is covered up, so that would be part of the process. and then we would go back probably once or twice more during the construction of the deck, for the framing of the roof deck, and then we would do a final inspection. probably three or four times,

because there are going to be two permits. and the other 14 this roof deck. -- the other one for this route deck. president goh: great, thank you. director goldstein: is there any public comment? seeing none, we will move into rebuttal. the appellant has three minutes of revival. -- rebuttal. >> i do not want to question any of the points that mr. beresford made, other than to say he has followed the directions he had been given, and if the board sees fit to

insist that he seek a permit for strengthening the substructure, and that it be inspected, i think we are completely in agreement with going forward. we did see his deck design. as far as i understand, that design was submitted by the contractor for a permit. a permit was issued on august 31 for the new design, and we do not have a problem with that. ok. director goldstein: mr. beresford, anything further? >> no, thank you. director goldstein: then i believe the matter is submitted. commissioners? commissioner fung: i would move to grant the appeal, with a condition that the permit

holder apply and procure a permit for the structural upgrade of the roof structure. vice president garcia: can we request that it be expedited? we are moving into hopefully a rainy season. director goldstein: commissioner fung, would that be on the basis if the permit is co-compliant? commissioner fung: yes. director goldstein: mr. pacheco, would you call the world? it does not look like there is any additionthis. is this correct? secretary pacheco: again, we have a motion from commissioner fung, that he applied for and procure a new building permit for structural upgrade of the roof structure and on the basis

that this permit is code compliance. on that motion, president goh, vice president garcia, commissioner peterson, commissioner hwang is absent, the boat is four-zero. the appeal is upheld with that condition and on that basis. director goldstein: ok, thank you. we will move into the last item on our calendar, which is item number eight, a discussion and possible adoption of the department's annual report. commissioners, we repaired -- prepared this report as part of the city charter, as all do, and it is also to inform the public. this covers the fiscal year 2010-2011, from july 1, 2010, to june 30, 2011, and what i thought i would do is touch on some of the highlights, and that i would be happy to answer any

questions you might have. during that fiscal year, you have heard 151 matters, a 13% increase from the prior year. however, it also reflects that appeal volume was down significantly if we look at the 10-year average. it was down from the -- for the third year in a row, and i took a look at this trend. at least 45% of the appeals stemmed from dbi issues, and it might begin to look at what the volume has been over at dbi over that same 10-year period, and i did notice some similarities. in 2008, when the economy started to go south, it went down 12% at dbi, and building permit volume went down about 16%, so that is similar to what we experienced, and the terrible part of volume continued to stay down -- the total volume went

down. it has stayed relatively constant in the past year, so although our appeal volume tends to be willing to building permits, we are not seeing that same increase in our appeals. i am not quite sure why that is. i think it is possible that the nature of the building permits being issued are perhaps for smaller projects or things that people are doing, interior remodeling, and it could be that the resources necessary for people to file appeals with the board are just too precious right now given the economic situation that a lot of people find themselves in. i am not really sure, but i thought it was good to take a look at the history. year to date, the trend for the appeal volume continues to be below average. we have received 48 new appeals since the beginning of this fiscal year, and if this trend continues, then we will and the

year again with below-average numbers of appeals. i would have to say it is a little too soon to know. so the report breaks down the appeals, looking at issuing departments, where do these appeals come from, the nature of the appeals, whether it is a protest,also what action the bo. gmajority of appeals where land use. permits were the next largest categories. you of held half of those -- the remaining matters were pending by the end of the year or withdrawn and.

you can have a map of both property appeals throughout the city, and i think the map shows a fairly disperse area. in addition, the board spent a good chunk of time on revision. i want to thank you for when you contributed on that. the board passed those and helped to fine-tune and create efficiencies. we also tried to reduce and the issues. there were 38. we have eliminated about a third of those. there is some work needed by

other departments and some of the project sponsors need to take action, and most of the others were which pending -- with pending issues. the board undertook a variety of issues to improve access to members of the public who have limited english speaking capabilities. we also have an organization but provides over the phone who translations. i feel we are capable of coverihelping just about anyoneo walks through gone doris. -- walks through the doors.

we have been continuing to work on a database that will report on cases and also to create electronic notices on the board's decisions. gooi am hoping to have been bacd up and available to the public. moving on to the budget, the board did face another challenging year. wheat ended with a deficit in -- we ended with the deficit. we did generate a surplus in our filing fees, but that is a small portion of the budget, and while

a 6% revenue shortfall is not wonderful news, it is an improvement over prior years. i hope we continue to move in this direction and find the ability to generate revenue and this year and going forward. it was pretty clear early on we needed to take some measures to reduce expenditures. we cut salary. we also were able to reduce some costs of processing of appeals, and we were also able to

increase utilization of the work order. the board reduced expenditures by 13%. the current budget, we generated just over 30% of projected revenues so far. it is still difficult to see how this will carry us through the rest of the year, and we are aware of how to limit expenditures where we stand. we will continue to develop electronic methods of tracking and sharing the board's work and to continue to review and updates all of the resource materials to provide as much service to the public as possible.

>> i have an interesting note as far as when you were going over the 10-year cycle. good reason look at when filing fee increases occur and whether that impacted the number of cases. -- we should look at the number of filing fee increases the darker and whether they impact the number of cases. i believe there were two increases in those years. >> i know since i have been on the board there was one increase, and most of those have not been increased for well over

a dozen years. the surcharges have been adjusted on a more regular basis. >> this is very well done, but i am curious. this is a map of the city, and it states that fewer of appeals are filed in the southwest of the city. does that area happen to appeal less? >> i do not know where it is spread out through the city, and i can certainly look into it. >> this is well done. thank you. >> i just wanted to commands director gold seen on thispreset illustrates a well-run agency,

and you are doing a great job. i am particularly happy to hear about the increase in accessibility with translation services and website organizations. it is great news and a great way to help us help the public, and you have done a fantastic job. it was challenging to try to revise some of our rules. i thank you for your patience with the process as well. we need to ask if there is any public comment. simenon, we need a motion to a

except its. -- seeing none, we need a motion to accept it. >> so moved zeroth. it is such a fabulous report, we all would like to make the motion. >> on that motion to except the report for fiscal year 2010- 2011. [calling votes] of the vote is 4-0. the annual report is accepted. >> there is no further business. we are adjourned.

when a resident of san francisco is looking for health care, you look in your neighborhood first. what is closest to you? if you come to a neighborhood health center or a clinic, you then have access it a system of care in the community health network. we are a system of care that was probably based on the family practice model, but it was really clear that there are special populations with special needs. the cole street clinic is a youth clinic in the heart of the haight ashbury and they target youth. tom woodell takes care of many of the central city residents and they have great expertise in providing services for many of the homeless. potrero hill and southeast health centers are health centers in those particular communities that are family health centers, so they provide

health care to patients across the age span. . >> many of our clients are working poor. they pay their taxes. they may run into a rough patch now and then and what we're able to provide is a bridge towards getting them back on their feet. the center averages about 14,000 visits a year in the health clinic alone. one of the areas that we specialize in is family medicine, but the additional focus of that is is to provide care to women and children. women find out they're pregnant, we talk to them about the importance of getting good prenatal care which takes many visits. we initially will see them for their full physical to determine their base line health, and then enroll them in prenatal care which occurs over the next 9 months. group prenatal care is designed to give women the opportunity to bond during their pregnancy with other women that have

similar due dates. our doctors here are family doctors. they are able to help these women deliver their babies at the hospital, at general hospital. we also have the wic program, which is a program that provides food vouchers for our families after they have their children, up to age 5 they are able to receive food vouchers to get milk and cereal for their children. >> it's for the city, not only our clinic, but the city. we have all our children in san francisco should have insurance now because if they are low income enough, they get medical. if they actually have a little more assets, a little more income, they can get happy family. we do have family who come outside of our neighborhood to come on our clinic. one thing i learn from our clients, no matter how old they are, no matter how little

english they know, they know how to get to chinatown, meaning they know how to get to our clinic. 85 percent of our staff is bilingual because we are serving many monolingual chinese patients. they can be child care providers so our clients can go out and work. >> we found more and more women of child bearing age come down with cancer and they have kids and the kids were having a horrible time and parents were having a horrible time. how do parents tell their kids they may not be here? what we do is provide a place and the material and support and then they figure out their own truth, what it means to them. i see the behavior change in front of my eyes. maybe they have never been able to go out of boundaries, their

lives have been so rigid to sort of expressing that makes tremendous changes. because we did what we did, it is now sort of a nationwide model. >> i think you would be surprised if you come to these clinics. many of them i think would be your neighbors if you knew that. often times we just don't discuss that. we treat husband and wife and they bring in their kids or we treat the grandparents and then the next generation. there are people who come in who need treatment for their heart disease or for their diabetes or their high blood pressure or their cholesterol or their hepatitis b. we actually provide group medical visits and group education classes and meeting people who have similar chronic illnesses as you do really helps you understand that you are not alone in dealing with this. and it validates the experiences that you have and

so you learn from each other. >> i think it's very important to try to be in tune with the needs of the community and a lot of our patients have -- a lot of our patients are actually immigrants who have a lot of competing priorities, family issues, child care issues, maybe not being able to find work or finding work and not being insured and health care sometimes isn't the top priority for them. we need to understand that so that we can help them take care of themselves physically and emotionally to deal with all these other things. they also have to be working through with people living longer and living with more chronic conditions i think we're going to see more patients coming through. >> starting next year, every day 10,000 people will hit the age of 60 until 2020. . >> the needs of the patients that we see at kerr senior

center often have to do with the consequences of long standing substance abuse and mental illness, linked to their chronic diseases. heart failure, hypertension, diabetes, cancer, stroke, those kinds of chronic illnesses. when you get them in your 30's and 40's and you have them into your aging process, you are not going to have a comfortable old age. you are also seeing in terms of epidemics, an increase in alzheimer's and it is going to increase as the population increases. there are quite a few seniors who have mental health problems but they are also, the majority of seniors, who are hard-working, who had minimum wage jobs their whole lives, who paid social security. think about living on 89