Process
Our Medical Office Construction Process
Medical office projects in Irving move through a delivery sequence shaped by NFPA 99 compliance, City of Irving plan review, and the clinical operational requirements of the physician group or health system client. The steps below reflect how we manage that sequence from preconstruction through occupancy.
Step
Preconstruction: medical planner coordination and NFPA 99 scope definition
We begin medical office projects by reviewing the medical planner's equipment schedule alongside the MEP engineer's drawings. The equipment schedule controls which exam rooms need medical gas rough-in, which procedure rooms need 200-amp panels, and where the imaging equipment structural framing is required. Aligning those requirements with the architectural room layouts and the structural design before the permit set is issued prevents the most common and expensive rework on medical office projects — having to open walls after NFPA 99 piping or imaging equipment pad placements are found to conflict with the framing.
Step
City of Irving permit submission and DSHS coordination
City of Irving commercial plan review for medical office occupancies follows the same four-to-six week first comment cycle as general commercial projects, but licensed outpatient facilities — ambulatory surgery centers, imaging centers, or substance abuse treatment facilities — also require Texas DSHS facility licensing review, which runs on a separate timeline. We coordinate both submission packages simultaneously and help the owner understand which construction milestones can proceed under a foundation or partial permit while the licensed-use review is still in process.
Step
MEP rough-in and ICRA management in occupied settings
In renovation or expansion projects adjacent to occupied clinical space, we install temporary ICRA barriers before any demolition begins and maintain negative pressure in the work zone throughout rough-in. MEP rough-in is coordinated with the MEP engineer through BIM clash detection on larger projects, and through a visual coordination session with trade foremen on smaller clinics. Medical gas piping is rough-in pressure tested before walls are closed and is final tested and certified by a qualified medical gas certifier before occupancy.
Step
Clinical finish installation and equipment rough-in
Clinical finishes — sheet vinyl, epoxy flooring, antimicrobial coatings, and stainless steel accessories — are installed with attention to seam location, floor drain placement, and base detailing at casework. Equipment rough-in for imaging, procedure lighting, and casework-mounted equipment is coordinated directly with the equipment vendor's project manager so that mounting heights, electrical stub-out locations, and rough-in dimensions match the actual equipment package being delivered.
Step
Inspection, commissioning, and clinical turnover
Medical office turnover requires coordinated City of Irving final inspection, medical gas certification, HVAC commissioning per ASHRAE 170 air change rate verification, and — for licensed facilities — a DSHS pre-licensing inspection. We schedule all of these in sequence during the final four to six weeks of construction so the clinical team can begin staff orientation and regulatory submission without delay. Operating manuals, commissioning reports, and as-built drawings are delivered before the team's move-in date.