I am sure the Olympic Club Lake course has at least 150 ft. of elevation change from the 1st tee to the bottom of the course (holes #13-#14-#15). The current configuration of the course dates from the 1920's, with a number of minor alternations thru the years.
Much of the course plays across the slope of the hill, rather than purely uphill or downhill. If you can't play off of a sidehill lie, you are in for a VERY long day. What makes the course even tougher is that some of the holes where you would want to hit a fade give you a draw lie and some of the holes that ask for a draw give you a fade lie.