2323 Sacramento Street

1. 1965

   Built.

2. December 15, 1972

   Pacific Medical Center completed its purchase of the former Pacific Heights Convalescent Hospital.

   San Francisco City Planning Commission minutes, San Francisco Public Library (Internet Archive)
3. 1973

   Operation Concern began here at Pacific Medical Center in 1973 as a counselling programme, growing into mental health programmes and a clinical intern training scheme.

   Donna J. Graves and Shayne E. Watson, Citywide Historic Context Statement for LGBTQ History in San Francisco, San Francisco Planning Department, adopted by the Historic Preservation Commission November 18, 2015
4. March 1, 1973

   A 73-by-132-foot lot held a 74-bed convalescent hospital, the former Pacific Heights Convalescent Hospital, zoned R-4 in an 80-A height district.

   San Francisco City Planning Commission minutes, San Francisco Public Library (Internet Archive)
5. April 5, 1973

   2323 Sacramento Street was a former convalescent hospital (the Pacific Heights Convalescent Hospital building) that Pacific Medical Center was converting to in-patient psychiatric care.

   San Francisco City Planning Commission minutes, San Francisco Public Library (Internet Archive)
6. Jan 1984

   Permit 8400140 $$$ $8,403

   Additions alterations or repairs.

7. Aug 2003

   Issued Permit 200308283389 $$$ $500

   Sign permit-non-electric, wall, single faced.erect flat alumimun panel, address sign.

8. Jun 2013

   Issued Permit 201306280782 $$$ $5,000

   Add 22 gallon propane tank as secondary fuel source for existing generator.(natural gas fired) provide rack to secure propane tank.

9. Jan 2024

   Issued Permit 202401083567 $$$ $5,000,000

   Change of use and occupancy: prov. a senior res. care facility. basement: 1 ada parking and renovate existing kitchen, laundry room and admin areas.1/f: provide 12 sleeping units, medical office, dining room, reception. 2/f: provide 17 sleeping units, activity/nursing room. total capacity 29 units/39 bed.

10. Mar 2024

    Permit 202403298949 $$$ $30,000

    Ab-017 interior demolition only. nonstructural walls, doors, and frames. electrical and plumbing fixtures.

11. Apr 2024

    Permit 202404301025 $$$ $20,000

    The existing t-bar ceiling is removed and there 152 existing sprinklers that need to be raised/modified after demolition is complete.

12. Jul 2024

    Filed Permit 202407055846 $$$ $15,000

    Strengthen level 1 podium slab with fiber reinforced polymer(frp).approximately 150sf.strengthen interior sheerwall with frp on both sides, approximately 350 sq ft.

13. Dec 2024

    Permit 202412126673 $$$ $65,000

    Remodel of existing fire sprinkler system 225 pendent sprinklers.

14. Jul 2025

    Issued Permit 202507019874 $$$ $48,000

    Revision to 202401083567. voluntary strengthening to existing concrete columns in basement via steel jacketing, 10 columns in total.

15. Sep 2025

    Issued Permit 202509094898 $$$ $2,500

    Ul300 fire suppression system installation.

16. Oct 2025

    Issued Permit 202510107201 $$$ $40,000

    Revision to 202401083567: swapping out e) concrete column for a steel column for feasibility of construction.

17. Nov 2025

    Filed Permit 202511190005 $$$ $15,000

    Revision to permit 202401083567. remove existing cement plaster and install new gypsum sheathing and cement plaster. install new wood siding.

18. Jan 2026

    Issued Permit 202502120163 $$$ $290,000

    Provide new fire alarm system with horn strobes to meet cbc r-2.1 requirements for full smoke detection and delayed egress. building permit 202401083567.

19. Aug 2026

    Issued Permit 202608136523 $$$ $1

    As built permit application 202502120163. per inspector request: 1) change ansul module description 2) add horn strobe on roof 3) add inspector test valve to drawing. building permit 202401083567.

20. Aug 2026

    Issued Permit 202608257094 $$$ $1

    Fire only as built revision 202502120163 and ref buildling permit 202401083567 and 202608136523- add to device descrpition and add co to matrix as supervisory.

2 cancelled permits are omitted.