In today’s complex urban jobsite, easy sites to build on are diminishing, while available sites are becoming harder to reach. In addition, the remaining sites often require creative solutions to develop. The project 1395 22nd St. is a complex of five apartment buildings built into one of the many hillsides in San Francisco, CA, and is surrounded by existing buildings and adjacent properties. Several of the tallest buildings for the project have one level below grade, one level at grade, and ten stories above grade. As part of the foundation system of the project, horizontal and vertical grade beams were installed along the hillside for the first five stories of the buildings and then anchored into the hillside with prestressed tiebacks. The excavated slope was up to a 1.5:1 slope, making for very difficult access to each of the