Windward Planning Commission, June 5, 2026
Approves Use Permit for outpatient medical clinic at 28-11670 Old Mamalahoa Highway, Pepe'eke'o, 6-0
How this board votes
The Windward Planning Commission approved 73% of 22 recorded land-use decisions this period. Most frequent dissent: JoNelle Fukushima (1 of 17 recorded votes).
Parsed from the official meeting recordings. Verify against the official minutes.
See the full board record, member by memberWhat happened
The Windward Planning Commission approved use permit PL-USE-2026-000042 for the Big Island NeuroHealth Foundation (applicant Jessica Stevens) to establish an outpatient neuromodulation medical clinic within an existing two-story dwelling at 28-11670 Old Mamalahoa Highway, Pepe'ek…
- Jurisdiction
- Hawaii County, HI
- Governing body
- Final authority
- Date
- June 5, 2026
- Decisions
- 3 zoning decisions
- Outcome
- Approved, 6-0
Projects in this meeting (2)
Each is its own project; some span multiple hearingsSURE Foundation Church
Recommended 6-0Outpatient Medical Clinic
Recommended 6-0Free sample: decision 1 of 3
Use Permit for outpatient medical clinic at 28-11670 Old Mamalahoa Highway, Pepe'eke'o
Application PL-USE-2026-000042 by Jessica Stevens (CEO/Clinical Director of Big Island NeuroHealth Foundation) to establish an outpatient medical clinic (neuromodulation/TMS services, ~972 sq ft first floor) within an existing two-story dwelling on a 5.75-acre parcel in the RS-10 single-family residential district. Second story remains a residence; only driveway and parking improvements plus minor interior renovations. Approved 6-0 based on the planning director's findings, recommendations and conditions.
- fire protection required per fire department code
- convert existing cesspool to IWS per Department of Health
The other decisions are listed below by title. The full write-up, verbatim conditions, and the audio at each vote are in Pro.
Meeting Summary
The Windward Planning Commission approved use permit PL-USE-2026-000042 for the Big Island NeuroHealth Foundation (applicant Jessica Stevens) to establish an outpatient neuromodulation medical clinic within an existing two-story dwelling at 28-11670 Old Mamalahoa Highway, Pepe'ek…
Key Decisions (3)
Use Permit for outpatient medical clinic at 28-11670 Old Mamalahoa Highway, Pepe'eke'o
Use permit time extension for SURE Foundation church at Pana'iwa Street
Bill 147 transient vacation rental / B&B zoning code amendment
Development Activity (2)
Big Island NeuroHealth Foundation outpatient medical clinic
Other
SURE Foundation church and related facilities
Other
Market Signals (4)
Commercial Demand
County Hunden Economic Impact Study estimated 8,000-10,000 short-term vacation rentals…
Housing Demand
Officials cited data that higher concentrations of unhosted short-term rentals…
Infrastructure
Pepe'eke'o community testimony cited fragile infrastructure including a single-lane bridge,…
Labor
Kona Downtown Improvement Association argued RM (multifamily residential) zoning should…
Who Spoke (18)
On the record: the chair, a councilmember, a staff member, and the applicant.
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