Working in a fast paced design-build collaboration with AD Architects and P&C Construction, this project site rests at the gateway entrance to the community of Astoria. It was important that the building design met the Gateway and the Historic District Guidelines, while serving the functional needs of the community programs. The building design responds to the harsh coastal climate criteria and sustainable design strategies with daylighting techniques and operable windows. Outpatient diagnostic imaging and clinical labs were included in the programs.