A healthcare practice interior under construction
Design, permit, build, C of O

We get medical, dental, and veterinary practices to Certificate of Occupancy.

Healthcare build-outs, handled by one licensed team from start to finish: planning, MEP drawings, permitting, ADA compliance, conditional-use requirements, construction, and keys.

Building practices since 1991.

Interior & ground-up In-house design + permitting 12-hour response
Established
1991
Response time
12 hrs
Scope
Plan to C of O
License
CSLB #669244
What we build

Build-outs for practices that can't afford downtime.

Most of our work is interior, tenant improvements inside warm or cold shells, where compliance and finish quality decide whether you open on schedule. We also build ground-up when the project calls for it.

01 / Dental

Dental offices

Single-provider practices through multi-location roll-outs, built to infection-control and imaging standards.

  • Operatory plumbing & casework
  • Sterilization & lab rooms
  • X-ray / pan room shielding
See dental construction →
02 / Medical

Medical & surgical

Exam suites, urgent care, med spas, and ambulatory facilities built to Title 24 and the codes your specialty triggers.

  • Exam & procedure rooms
  • Medical gas & specialty MEP
  • Accessibility & egress
See medical construction →
03 / Veterinary

Veterinary clinics

Animal hospitals and clinics, including the conditional-use approvals these projects almost always require.

  • Kennel, surgery & treatment
  • Drainage, acoustics & odor control
  • Conditional use permitting
See veterinary clinics →
04 / TI

Tenant improvements

Our specialty. Interior remodels inside an existing warm or cold shell, scoped to protect your opening date and budget.

  • Warm shell & cold shell build-out
  • Phased work for live spaces
  • Landlord coordination
Commercial & residential →
05 / Ground-up

Ground-up construction

When a shell won't do, we take the project from raw site through structure to a finished, occupiable building.

  • Site, structure & envelope
  • Full MEP coordination
  • Single team, start to finish
Our process →
06 / Design

Design & drawings

We draw what we build. Architectural plans and MEP drawings produced in-house, so design and construction never point fingers.

  • Space planning & permit sets
  • Mechanical / electrical / plumbing
  • One accountable team
Professional services →
The whole path, one contractor

From first sketch to signed-off and open.

Most contractors hand you off, to an architect, an engineer, a permit expediter, an inspector. We carry the entire path ourselves, which is why nothing stalls between trades.

01

Design & space planning

We start with how your practice actually runs, then draw a plan around your workflow, room counts, and equipment.

Architectural plansEquipment layout
02

MEP drawings

Mechanical, electrical, and plumbing engineered in-house and coordinated against the build, so the trades match the drawings on day one.

MechanicalElectricalPlumbing
03

Permitting & conditional use

We pull the permits and manage the city, including the conditional-use permits that medical and veterinary projects almost always need.

Plan checkConditional use permitCity liaison
04

Construction

Build-out by a team that knows healthcare finishes and infection-control detailing, phased around a live practice when you can't go dark.

Build-outPhased scheduling
05

ADA & code compliance

Accessibility and every local requirement built in from the drawings forward, not patched in after an inspector flags it.

ADATitle 24Local code
06

Inspection & Certificate of Occupancy

We walk every required inspection through to sign-off and hand you the Certificate of Occupancy, the document that lets you open your doors.

Final inspectionSign-offC of O
Know what you're leasing

Warm shell or cold shell, we build out both.

The shell you sign for decides how much has to be built before you can practice. We'll walk a space with you before you sign and tell you straight what it will take.

Bare bones

Cold shell

Concrete, exterior walls, and a stubbed utility or two. Everything inside is yours to build: HVAC, electrical distribution, plumbing, walls, finishes. More work, more control.

A head start

Warm shell

HVAC, restrooms, lighting, and base distribution already in. We build your interior into what is there and get you to occupancy faster.

Selected work

Finished spaces, open and running.

Completed dental operatoryOperatory
Finished practice reception deskReception
Clinic corridorClinic corridor
Bright treatment roomTreatment room
Interior build-out in progressBuild-out
Permit drawing setPermit set
Medical exam in a finished practiceMedical exam
Veterinary clinicVeterinary
1991
Building since
3+
Healthcare verticals
12h
Response guarantee
1
Team, plan to keys

Tell us what you're building.

Send your project, or your stuck permit, and a real person replies within 12 hours, by email or phone.

Call Start a project