This OSHPD 1 full design-build project included seismic upgrades and tenant improvements to over 250,000 SF of space within the existing Sequoia Hospital. In addition, scope included demolition and reconstruction to accessibility and/or the replacement finishes for seismic work. The main focus of construction planning revolved around infection control and interim life safety measures to ensure minimum impact to the existing and current operating hospital, which includes labor/delivery, cardiac, operating rooms, intensive care, ER, etc. Additionally, extensive effort was been put into capturing existing conditions in this 100-year-old hospital.