Selvaggi Built

Plan review is a discipline.

Most contractors treat HCAI submission as an administrative step. Fill out the forms, attach the drawings, wait for comments, respond. That process works if you have time and a simple project. It does not work if you are running a phased renovation inside a licensed facility with a regulatory deadline attached to the occupancy schedule.

HCAI plan review has a logic to it. Project category determinations drive the review track. Title 22 requirements layer on top of CBC. OSHPD inspectors look for specific documentation patterns. Reviewers flag the same categories of errors repeatedly because most GCs do not know what the review team is actually looking for.

We do. Preconstruction includes a submission strategy, not just a drawing package. Comments are anticipated before they arrive. The response is prepared before the review clock starts. That is how you protect the schedule on a licensed facility.

Plan review is not paperwork. It is field intelligence applied upstream.

Casework built to the room.

Off-the-shelf casework does not fit healthcare. The wall is never perfectly square. The floor is never perfectly level. The existing MEP rough-in lands where it lands. A standard unit gets shimmed, scribed, and caulked to hide the gap. It looks fine on day one. It fails inspection or creates a surface that cannot be properly cleaned.

We fabricate in-house. Field dimensions are verified before a single panel is cut. Tolerances are held to the room, not to a catalog spec. The result is casework that installs clean, seals properly, and meets the surface requirements of a clinical environment.

That is not a premium feature. In healthcare, it is the baseline.

The gap is where projects fail.

Every set of construction documents represents design intent. What the engineer drew, what the architect specified, what the owner approved. That drawing set is based on as-built information that is often years old, frequently incomplete, and sometimes wrong.

In an active healthcare facility, the gap between the drawing and the field is where projects fail. The wall that is supposed to be drywall is concrete. The conduit that is not on the drawings runs exactly where the new MEP needs to go. The slab is six inches thicker than the structural notes indicate.

We close that gap before demo starts. Existing conditions are field-verified by our team, not assumed from documents. Ground-penetrating radar where the structure requires it. Above-ceiling inspection before mechanical rough-in is priced. The RFI gets written before the bid, not during construction when a change order is the only option.

What you find in preconstruction costs nothing to resolve. What you find after mobilization costs everything.