Tenant improvements
Build-outs and renovations inside existing commercial space, offices, retail shops and suites, planned backward from the date you need to open.
Commercial
Medical and dental build-outs in Kitsap
Clinic, practice and dental suites built to the plumbing, ventilation, power and finish requirements that patient care demands.
Who this is for
This service is for physicians, dentists, therapists and clinic operators building or expanding practice space: exam rooms, dental operatories, imaging, labs, waiting and reception areas. Ian Laughlin was a superintendent on dialysis and medical centers early in his career, and that is the background we bring: sequencing around equipment, the plumbing and ventilation medical use demands, and coordination between owner, designer and vendors.
What's included
- A review of the space against the use: plumbing, ventilation, power, structure and accessibility
- Coordination with your architect, engineer and equipment vendors on the layout and rough-in points
- Plumbing for exam and treatment rooms and sinks, and, for dental offices, vacuum and compressed air lines
- Electrical capacity, emergency power and low-voltage work for medical equipment and data
- Shielding for imaging rooms where your design requires it
- Finishes suited to cleaning: sealed flooring, wipeable walls, and cabinetry built for the use
- Accessibility, exit and fire and life-safety features built into the plan
- Permit and inspection coordination, a clean-out before equipment is installed, and a punch list
How the work runs
Step 1: Program and space review
We go through the rooms, the equipment and the building's capacity for plumbing, power and ventilation.
Step 2: Design coordination and pricing
Architect, engineer and vendors set the rough-in points, and we price from the drawings and flag long-lead items.
Step 3: Permits and approvals
Permit with the city or county and approvals with the landlord, plus any health or licensing approval your practice needs.
Step 4: Build-out
Demolition, framing, rough-in and inspections, then ceilings and finishes, sequenced around equipment deliveries.
Step 5: Equipment and opening
Final clean, vendor installs, inspections and a punch list before patients arrive.
On the Kitsap Peninsula
Medical and dental space on the peninsula is often found in office buildings and shopping-center suites that were built for other uses, in places like Silverdale, Bremerton, Poulsbo and Port Orchard. That makes the shell the first question: whether the existing plumbing, slab, roof equipment and electrical service can carry a dental vacuum, an x-ray room or a sterilization area. Floors may need to be cut for drains, and ceilings checked for the ductwork medical ventilation needs.
Imaging rooms can require shielding, and practices regulated by the state may need approvals that run on their own schedule, so we ask early. Each city runs its own permit office, and Kitsap County covers Silverdale.
The sequence is usually landlord, designer, permit, then equipment delivery dates, and we plan backward from the date you want to see patients. If the space is simpler, an office-style suite, see tenant improvements.
Permit guides
The office that issues the permit depends on the parcel. Start with the authority that covers yours.
What it costs
We price medical and dental build-outs from plans. The Estimate Desk's tenant-improvement type covers office and light retail only, not clinical space, so it is not a fit.
The drivers are the number of sinks, treatment rooms and dental chairs, plumbing and vacuum or air lines, imaging shielding, electrical capacity and emergency power, equipment rough-in, ventilation changes, finishes, and whether the work has to be phased around patients. We list these separately so the vendor and design choices are visible in the budget.
Questions about this work
Can you build a dental office?
Yes. We build dental suites from the shell: operatories with plumbing, vacuum and compressed air, sterilization, imaging and reception areas. We work from your designer's drawings and coordinate with the equipment vendors on rough-in points.
What do you need from my equipment vendors?
Their rough-in drawings or cut sheets, showing where plumbing, power and data have to land for each chair, unit or machine. Getting these early prevents rework, so we ask for them before framing and before the slab is cut.
How do you handle imaging room shielding?
Where an imaging room needs shielding, your designer or a qualified specialist specifies it and we build to that specification. We plan it as its own step so the walls, doors and inspections are coordinated.
Can you build in an occupied medical building?
Yes, with phasing. Noise, dust and vibration are controlled, and noisy work is scheduled around patient hours. The landlord and building management are told ahead of time. We build those requirements into the schedule.
Do I need a state approval to open my practice?
It depends on the type of practice and how it is regulated. Some uses need approvals from a health or licensing agency that run on their own schedule. Ask your regulator early, and we will build the timeline around what you learn.
What medical construction experience does Ian have?
Early in his career Ian Laughlin was a superintendent on dialysis and medical centers, banks and other commercial construction. That experience is his own, from before JKM, and he is the person you will talk to about your project.
Talk with us about medical and dental build-outs
Call Ian Laughlin at (206) 226-1988, or send the details and we will set up a site visit.