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Senior Living and Assisted Care Estimating for Contractors

Senior living and assisted care estimating at KNR serves general contractors, trade contractors, owners and developers pricing assisted living, memory care and skilled nursing work. We take off every resident unit, dining commons and commercial kitchen line from your construction documents, then deliver an Excel workbook, a PDF summary and marked-up drawing pages you can defend in a bid review.

  • Unit-by-unit takeoffs from construction documents
  • Waste factors and units shown on every line
  • Wage and price data cited by source
  • Excel workbook, PDF summary, marked-up drawings

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Send drawings and a short scope. You get a fixed price before any work starts.

What does senior living and assisted care estimating include?

Senior living and assisted care estimating covers a full quantity takeoff of every CSI MasterFormat division in the bid package, priced with national average unit costs adjusted by published wage and price data and reviewed by an estimator. Each line shows its unit of measure, measurement rule and source.

Our Professional Senior Living & Assisted Care Estimating

Senior living work is a hybrid of multifamily, hospitality and clinical construction, and the takeoff has to hold all three at once. A resident unit carries grab bars, ADA clear floor space and acoustic separation in the demising walls; the dining commons carries a commercial kitchen; the corridors carry sprinkler head layouts under NFPA 13 design densities. We measure each of those from the plan sheet index forward, so no line on the estimate arrives without a sheet number behind it.

Our senior living and assisted care estimating starts with a full quantity takeoff sorted by CSI MasterFormat division, then prices it with national average unit costs adjusted by published U.S. wage and price data and reviewed by an estimator. We do not quote a single square-foot rate and call it a budget. Every line shows its unit of measure, the measurement rule applied, and the arithmetic — including the waste factor, stated as a percentage on the line it applies to.

For assisted living construction cost estimating, the unit mix drives the number. A studio assisted living unit and a two-bedroom independent living apartment differ in plumbing fixture count, closet millwork, door hardware and electrical device count, so we take off per unit type and multiply by the count from the unit schedule rather than averaging. Corridors, dining commons and therapy space are measured separately at gross square feet with a stated grossing factor for wall thickness and circulation. The same division-by-division discipline behind our retail and shopping center estimates support applies here, where tenant finish packages and shell work are priced apart.

Resident unit and building shell takeoffs

We measure materials by division using the units each trade buys in: cubic yards of concrete for footings and slab-on-grade, square feet of contact area for formwork, tons of structural steel and joist for Division 05, square feet of gypsum board and gallons of paint for Division 09. Repeating resident units are taken off once as a typical bay and extended by count, with each deviation from typical called out on its own line. You receive the quantities in an Excel workbook with the marked-up drawing pages so any number can be traced back to the sheet.

Craft hours for care-area installations

Labor is priced by trade and by installation task, using published wage data for the craft and a productivity assumption stated in the workbook. Setting a grab bar in a blocking-reinforced wall and setting one in a membrane penetration retrofit are different tasks with different hours, and we list them separately. Supervisory time is carried as a separate line rather than folded into the craft rate. See our labor cost estimating services for how the hours are built up.

Line-item pricing sheets for bid leveling

The deliverable is an Excel workbook and a PDF summary with marked-up drawing pages, organized so a subcontractor can price against it line by line. Quantities, units, waste allowances and the source sheet sit on the same row, which is what makes bid leveling possible later. When an addendum changes the unit schedule, we re-measure the affected lines and issue a revised sheet rather than a lump adjustment. The fee is quoted per project after we review the plans, so send your plans and we will scope the takeoff.

What Is Included in Our Senior Living & Assisted Care Estimates?

The scope of a senior living quantity takeoff follows the building, not a single trade. We work from the construction documents set: architectural, structural, mechanical, electrical, plumbing and fire protection, plus the kitchen equipment schedule and the low-voltage package for nurse call and wander management. Each discipline is measured into its own division so the owner can see where the money sits. Our commercial estimating services cover the full building rather than one trade, which is what senior living and assisted care estimating requires. Send the plan sheet index and any addenda with the drawings when you request a quote, and we will quote the fee after reviewing the set.

We state the AACE estimate class on the cover sheet. A conceptual estimate from a site plan and unit count is Class 4 or 5 and carries a wider range; a takeoff from a full construction documents set with a complete plan sheet index is Class 2 or better. Labeling the class tells you how much contingency the number can carry before it stops being useful. For owners comparing options across a portfolio, our professional construction cost estimating services put each building on the same basis.

Structure, envelope, interiors and building systems

The measured scope typically covers:

  • Division 03 concrete: footings, slab-on-grade, elevated decks, and the reinforcing and formwork that go with them.
  • Division 05 metals: structural steel, joists, deck, and the miscellaneous metals for grab bar blocking and canopy frames.
  • Division 09 finishes: gypsum board, acoustic ceiling, resilient flooring, carpet, tile, paint, and the acoustic separation details in party walls between resident units.
  • Division 14 conveying equipment: elevators sized for gurneys in skilled nursing wings and standard passenger cars elsewhere.
  • Division 21 fire suppression: sprinkler head counts by hazard area, risers and standpipes.
  • Division 26 electrical and Division 28 electronic safety: branch devices per resident unit, nurse call, fire alarm and access control.

Quantities by unit, area and system

Counts and areas are reported in the units the trades price in. Resident units are counted by type — studio, one-bedroom, two-bedroom, memory care — and measured per unit for fixtures, devices, casework and doors. Common areas are measured at gross square feet with the grossing factor shown. Sprinkler heads, nurse call devices, grab bars and electrical receptacles are counted as each. Wall and floor finishes are measured net of openings, with the opening deduction rule stated on the sheet.

Materials, labor, equipment and cost breakdowns

Every line is split into material, labor and equipment, with the labor hours and the wage basis shown. Equipment covers the cranes, pumps, lifts and temporary power that the installation actually needs, not a percentage allowance. Indirect costs — supervision, permits, temporary facilities, final cleaning — sit in their own section so they are not buried in a trade rate. The workbook totals by division, by building area and by resident unit, which lets you compare cost per unit across a portfolio. Where a line needs a subcontractor quote rather than a published cost, we flag it as an open item instead of estimating it silently.

Who Needs Our Senior Living & Assisted Care Estimating?

Different readers use the same takeoff for different decisions. A framing contractor wants the wall and floor quantities; an owner's representative wants the cost per resident unit and the contingency story. We organize the workbook so both can pull what they need without re-sorting the sheet.

For early feasibility work, a conceptual estimate built from unit count and gross square feet is enough to test a pro forma. Once the design develops, the same workbook converts to a line-item takeoff against the construction documents, and the two can be compared line by line to see what moved. Readers comparing this product type against other institutional work often start with our school and education building estimates support, because the same grossing factor and occupancy logic carries across.

Specialty subcontractors and trade contractors

Concrete, framing, drywall, electrical and fire protection subcontractors use our takeoffs to check their own quantities before a bid and to price scope they may have missed. A fire protection contractor gets sprinkler head counts by hazard classification and pipe sizes by zone. A drywall contractor gets board square footage net of openings with the acoustic separation details broken out. Our memory care building takeoff services also cover the secured-perimeter doors, delayed egress hardware and wander management devices that general trades often leave out, and senior living and assisted care estimating keeps those items on their own line rather than buried in Division 08.

General contractors and home builders

General contractors use the estimate to build a bid package, check subcontractor coverage and run bid leveling when the numbers come back uneven. Home builders moving into assisted living and independent living product use it to compare a wood-frame podium scheme against a steel and concrete scheme on the same site. Division 05 metals quantities matter most in that comparison, because the structural system choice moves the cost more than any finish selection.

Developers, architects and suppliers

Developers use the cost per assisted living unit to test a pro forma and to sequence phases. Architects use the opening and finish quantities to check that the specifications and the drawings agree before an addendum is needed. Suppliers of casework, nurse call systems and commercial kitchen equipment use the counts to prepare their own scope sheets. If you are comparing building types, our commercial estimating services cover the mixed-use and retail components of a continuing care campus.

Types of Senior Living & Assisted Care Projects We Estimate

The building type changes the scope far more than the finish schedule does. A memory care wing and a skilled nursing floor share a corridor width and a door width, but they diverge on egress, on fixture counts and on the amount of Division 09 acoustic work. We ask for the IBC occupancy classification and the unit schedule before measuring, because both drive the quantities.

Skilled nursing facility estimating carries more clinical infrastructure than the other types: medical gas, nurse call at every bed, higher plumbing fixture counts and heavier mechanical systems. Independent living apartment takeoff looks closer to multifamily, with full kitchens, in-unit laundry and fewer clinical systems. Continuing care retirement community work combines all of them on one site, so we report each building separately and then roll up the campus. That is the structure senior living and assisted care estimating needs, because a campus total hides which building is driving the cost.

Residential projects

Independent living apartments, cottages and assisted living units are measured per unit type, with each unit's kitchen, bath, closet and laundry taken off once and extended by count. The party walls between units carry the acoustic separation details, and the corridor carries the handrail and grab bar scope. Our office and tenant improvement estimating covers the administrative and marketing suites that often sit alongside the residential buildings.

Commercial buildings

Dining commons, commercial kitchens, therapy gyms, salons, chapels and administrative space are measured at gross square feet with the kitchen equipment schedule taken off item by item. The commercial kitchen alone carries grease duct, hood suppression, walk-in coolers and floor drains that a residential takeoff would never include. Our restaurant estimating services cover the kitchen and dining build-out in more detail when that scope is bid separately.

Industrial and infrastructure projects

Central plants, emergency generators, site utilities, parking and stormwater infrastructure on a continuing care campus are measured as site and infrastructure scope, separate from the buildings. Generator sizing, fuel storage and the transfer switch scheme are taken off from the electrical drawings rather than allowed as a percentage. Our construction cost estimating services cover the sitework and utility packages that sit outside the building footprint, and senior living and assisted care estimating treats them as their own bid package.

Our Senior Living & Assisted Care Estimating Process

Every senior living and assisted care estimating job follows the same three stages, and each stage leaves a record you can audit. We start from the plan sheet index and the specification book so nothing in the set is skipped, including the addendum pages that often carry the revised door hardware or sprinkler layout. A continuing care retirement community takeoff usually spans independent living apartments, assisted living units, a memory care wing and shared amenity space, so the takeoff is organized by building and by resident unit type rather than by sheet number alone.

Quantities are measured with a stated unit of measure and a stated rule. Division 14 conveying equipment, for example, is counted by stop and by unit, not by elevator shaft gross square feet, and dining commons casework is measured by linear feet of counter with the sink cutouts deducted. The same discipline carries into retail and shopping center estimates, where tenant storefronts and shell space are separated the way amenity and resident space are here. When you are ready to price a set, send your plans through our estimate request page and we will confirm scope before takeoff.

  1. Submit drawings and specifications

    Send the architectural, structural, mechanical, electrical and plumbing sets plus the division 00 and 01 documents, the finish schedule and any addendum issued to date. We log the sheet count against the plan sheet index and flag missing sheets or superseded revisions before takeoff begins. If the set is a partial bid package, tell us which divisions you are pricing so the scope sheet matches your bid form.

  2. Plan review and digital takeoff

    An estimator reviews each sheet on screen, traces the floor areas and assigns every assembly to a CSI MasterFormat division. Resident units are measured individually so the assisted living unit takeoff can be extended by unit type, and shared areas such as the dining commons and commercial kitchen are measured separately. Wall, floor and ceiling finishes are taken off with the membrane penetration and acoustic separation details checked against the partition types on the drawings.

  3. Cost calculation, quality checks and delivery

    Quantities are priced from national average unit costs and adjusted with published U.S. wage and price data, then reviewed by a second estimator. The check compares the takeoff totals against the gross square feet and the grossing factor for the building type, and any line that falls outside the expected range is re-measured. You receive an Excel workbook, a PDF summary and marked-up drawing pages, with assumptions listed so your team can confirm them before the bid.

Sample Senior Living & Assisted Care Estimate and Deliverables

The example below is illustrative and uses round numbers so you can check the arithmetic. Assume a 60-unit assisted living building of 54,000 gross square feet, a wood-frame structure over a slab on grade, with a commercial kitchen and a two-stop elevator. The senior housing construction cost estimate is built from measured quantities, not from a square-foot multiplier, but we run the square-foot check as a cross-check on the total. That check is one part of the construction estimating services we provide on senior housing work, and senior living and assisted care estimating follows the same rule: no line without a quantity, a unit and a source.

Every line carries a unit of measure, a waste factor where material is cut, and the source of the unit cost. The bid package you receive shows the same lines in the same order, so a subcontractor's quote can be compared line by line against the takeoff.

Illustrative line items — 60-unit assisted living building, 54,000 gross square feet (not a quote)
ItemQtyUnitUnit cost rangeExtended range
Division 03 — slab on grade, 4,500 psi, 6 in.1,150cu yd$210 – $245$241,500 – $281,750
Division 05 — structural wood framing, walls and floors54,000gross sq ft$9.50 – $12.00$513,000 – $648,000
Division 09 — drywall and finishes, resident units and corridors48,000sq ft of wall$6.20 – $7.80$297,600 – $374,400
Division 14 — two-stop passenger elevator1each$95,000 – $125,000$95,000 – $125,000
Division 21 — sprinkler heads, light hazard, residential1,450each$115 – $145$166,750 – $210,250
Division 26 — branch wiring and devices, resident units60unit$2,400 – $3,100$144,000 – $186,000
Division 28 — fire alarm devices and nurse call rough-in60unit$1,150 – $1,500$69,000 – $90,000
Total, listed lines only———$1,526,850 – $1,915,400
  • Marked-up drawings

    Each plan sheet is returned with the measured areas, counts and routes highlighted and labeled with the takeoff row they feed. Wall types, door and window marks, and plumbing fixture counts are annotated on the sheet so a reviewer can trace a workbook line back to the drawing. Revisions are marked against the sheet revision date so superseded work is visible.

  • Itemized cost estimate

    The PDF summary lists each division with material, labor and equipment split, plus the assumptions and exclusions page. Items not in the documents, such as owner-furnished furniture or a future memory care wing, are listed as exclusions rather than priced. The table below shows a partial line set from the illustrative example.

Software and Pricing Data We Use

The assisted living unit takeoff is only as good as the pricing behind it, so we keep the quantity measurement and the cost source separate. Quantities come from the drawings; costs come from national average unit costs adjusted with published U.S. Bureau of Labor Statistics wage and Producer Price Index data. That separation lets you re-price the same quantities when a bid date moves or a material index shifts, the same discipline we apply to hotel and hospitality estimates where finishes and MEP scope change late.

The chart below tracks the Producer Price Index series for the materials that dominate this scope, rebased to 100, and the wage table below shows the trade rates used in the labor build-up.

Takeoff and estimating software

Our estimators work in three tool categories: PDF and on-screen takeoff software for measuring and marking up plan sheets, spreadsheet-based estimating workbooks for the quantity and cost build-up, and subscription cost databases for unit cost baselines. The scope sheet and the plan sheet index are built in the same workbook, so a missed sheet shows up as a gap rather than a silent omission. Division 26 electrical quantities, including the nurse call system rough-in and the fire alarm device count, are traced on screen and carried into the workbook row by row.

Regional material and labor pricing method

We start from national average unit costs, then adjust labor with the wage table below and material with the chart below, applying a location factor for the project's market. Prevailing wage projects, phased occupied-building work and renovation conditions are priced with separate adjustments rather than folded into the base rate. The result is reviewed by an estimator before it reaches you, and the adjustment factors are shown on the summary tab so you can see how each number was reached.

Material price movement, Oct 2023 to Sep 2026

85118150Oct 2023Sep 2026
Lumber and wood products: +14.6%Ready-mix concrete: +6.3%Steel mill products: +27.8%Copper wire and cable: +47.5%
Index rebased to 100 at Oct 2023. Source: U.S. Bureau of Labor Statistics, Producer Price Index (WPU081, WPU1333, WPU1017, WPU102502), updated 2026-10-25.
U.S. hourly wages for the trades in this scope (latest BLS release)
Occupation25th percentileMedian75th percentile
Construction laborers$18.57$22.66$28.72
Carpenters$23.32$29.12$36.94
Electricians$23.76$30.38$40.36
Plumbers, pipefitters and steamfitters$24.13$30.67$40.92
Cement masons and concrete finishers$22.60$27.41$32.15
First-line supervisors, construction trades$30.48$38.42$48.78
Cost estimators$29.40$37.86$48.97

Base wages before payroll taxes, insurance and benefits. Source: BLS Occupational Employment and Wage Statistics, national, all industries.

Why Contractors Choose Our Estimating Services

The reasons are procedural rather than promotional. A takeoff is only useful at bid time if the next person can follow it, so we write every line so it can be traced to a sheet, a rule and a price source. That discipline is what makes senior living bid leveling support practical: when three subcontractor quotes come back, each can be compared against the same measured quantity. The same sheet format carries over to professional office and tenant improvement estimating, so a developer running both product types reads one workbook style.

Trade-specific expertise

Senior care buildings combine residential construction with institutional systems, and the takeoff reflects both. Division 28 electronic safety is measured by device and by circuit, with the fire alarm, nurse call and wander management rough-in separated because they are often different subcontractors. Grab bars, ADA clear floor space and backing in resident bathrooms are taken off by unit type so the accessory package is not left to an allowance. The dining commons and commercial kitchen are measured with the same discipline we apply in professional restaurant estimating services, where hood, grease duct and equipment connections drive the mechanical scope.

Quality control and clear assumptions

A second estimator reviews the workbook against the plan sheet index before delivery, checking that every sheet is accounted for and every division is either priced or listed as an exclusion. Assumptions are written on the summary tab, including the code edition used for IBC occupancy classification and NFPA 101 egress counts. If a drawing is ambiguous, we state the interpretation we priced rather than burying it in a rate.

Turnaround, communication and revisions

Delivery dates are agreed when we review the plan set, based on sheet count, building count and how complete the documents are. Revisions are handled against the addendum or sketch you send, with changed quantities flagged on the revised tab so the previous version stays visible. Questions go to the estimator who measured the sheet, and the answer is recorded in the workbook notes.

Senior Living & Assisted Care Estimating Pricing

The fee for senior living and assisted care estimating is quoted per project after we review the plan set, not pulled from a rate card. Two assisted living projects of the same gross square feet can carry very different effort: one arrives as a complete construction documents set with a clean plan sheet index, the other as 60 percent drawings plus a bid package assembled from addenda. We price the work in front of us.

A full independent living apartment takeoff is heavier than a common-area-only scope because every resident unit repeats its own kitchenette, bath accessories, and Division 26 electrical devices. Unit repetition is where an experienced quantity takeoff earns its keep: count the typical unit once, apply the correct grossing factor for the building, and reconcile the result against the rentable unit schedule. The calculator below lets you apply your own base hard cost per sq ft, soft-cost percentage, contingency and escalation to a building area; it holds no prices of its own and returns hard cost, soft costs, contingency, escalation, budget total and all-in cost per sq ft.

How quotes are calculated

We count the plan sheets by discipline, list the trades you want priced, and estimate the review load created by alternates and addenda. A set with a clear Division 03 concrete foundation plan, Division 05 metals framing and Division 09 finishes schedule takes less reconciliation than one where the fire suppression layout is still schematic and sprinkler head counts must be inferred from hazard classification. The quote states the scope we will measure, the deliverable format (Excel workbook, PDF summary, marked-up drawing pages), and the assumptions we made. Nothing is billed against a rate you did not see first.

What affects price and delivery time

Sheet count, trade count, the number of alternates and addenda, and how close the bid date sits all move the schedule. A single addendum that changes Division 28 electronic safety devices or the nurse call system means re-measuring affected sheets, not just editing a total. Delivery time is confirmed with the quote so you know the date before you commit; we do not publish a fixed turnaround because the scope varies by project. Send your plans through the quote page and we will tell you what the review involves.

Square-foot budget calculator

Hard cost
$444,000
Soft costs
$53,280
Contingency
$49,728
Escalation
$21,880
Budget total
$568,888
All-in per sq ft
$237

Enter your own base rate from a recent bid, cost book or estimator. The default values are placeholders for the math, not market prices.

Senior Living & Assisted Care Estimating Across the US

We handle senior living and assisted care estimating in all 50 states from one team, so the unit of measure and the measurement rules stay constant while the labor and material inputs move by region. Wage levels differ by market, and public work carries prevailing wage requirements that change the labor build-up on carpentry, electrical and plumbing lines. Material delivery distance affects lumber, ready-mix and steel pricing; the chart below shows how far those producer price indexes have moved, which is why we re-price rather than carry last year's numbers.

Climate and code adoption shape quantities as much as price. A memory care wing in a cold climate carries more slab insulation and freeze protection on Division 21 fire suppression piping than the same plan in a mild market, and local amendments to IBC and NFPA 101 can add travel distance, sprinkler coverage or grab bar blocking that the base drawings do not show. Senior care renovation estimating adds its own regional wrinkle: existing conditions surveys and selective demolition quantities depend on what the local building department will accept as documented. We confirm the governing code edition with the authority having jurisdiction before we finalize those lines, the same discipline we apply in professional healthcare and hospital estimating.

Frequently Asked Questions

How much does a senior living & assisted care estimate cost?

The fee is quoted per project after we review the plans. It depends on the drawing set's completeness, the number of resident units and building types, the mix of new construction and renovation, and how many trades the bid package splits into. Send the plan sheet index and specifications and we will quote a fixed fee against that scope.

How long does a senior living & assisted care takeoff take?

The delivery date is set when we quote and confirmed in writing before work starts. It depends on sheet count, how many unit plans repeat, whether interior elevations and finish schedules are issued, and whether addenda arrive during the takeoff. We confirm the date with the quote rather than publish a standard turnaround.

Do you estimate labor and material costs?

Yes. Every line carries a quantity, a unit of measure and a labor and material breakdown. Material pricing starts from national average unit costs adjusted with published U.S. wage and price data, then an estimator reviews the result. Labor hours are built from the takeoff quantities, not from a percentage of material value.

What drawings do you need?

Send the full construction documents: architectural, structural, MEP, fire protection, the plan sheet index, finish schedules and specifications. Unit plans, enlarged kitchen and dining commons sheets, and the site plan matter most in senior living work. Send any addenda with the set so the takeoff reflects the current bid package.

Can you use my estimate template?

Send your template with the plans and we will confirm whether the estimate can be delivered in it. We work in Excel and PDF, so most CSI MasterFormat-sorted workbooks map cleanly. If a template's structure conflicts with the takeoff, we will say so before the quote rather than after delivery.

Do you sign NDAs?

Clients can request an NDA before sending drawings, and the terms are agreed before plan review begins. Send the draft with your request so the agreement is settled ahead of the takeoff. We do not describe a standard NDA policy; each request is handled on its own terms.

What is a senior living quantity takeoff?

It is a measured list of every material and assembly in the drawings, sorted by CSI MasterFormat division and tied to a unit of measure. For senior living and assisted care estimating, that means counting resident units by type, memory care wing rooms, dining commons seats and commercial kitchen equipment, then measuring the envelope, partitions and MEP runs that serve them.

How do you handle repeated assisted living units?

We take off one typical assisted living unit in full, then apply a counted multiplier and adjust for corner, accessible and enlarged units. Each unit type is priced separately so a change to one plan does not reprice the whole building. The unit count is reconciled against the floor plans before the estimate is issued.

Do you separate memory care from independent living?

Yes. Memory care wings carry different door hardware, delayed egress, nurse call coverage and secure perimeter details than independent living apartments. Independent living apartment takeoffs usually include full kitchens and in-unit laundry, while assisted living units may only need kitchenettes. Mixing them under one average hides the cost difference.

Can you support bid leveling?

Yes. We issue a scope sheet per trade with quantities and inclusions so you can compare subcontractor bids line by line. Senior living bid leveling support catches the usual gaps: firestopping, grab bars, shower reinforcement, nurse call rough-in and Division 28 devices left out of a base bid.

How do you treat waste and grossing factors?

Waste factors are applied per material using typical ranges, such as 5 to 10 percent on tile and 10 percent on drywall, and shown as a separate line so you can override them. Grossing factors for gross square feet are kept apart from net rentable resident area. Every adjustment is visible in the workbook.

Do you estimate renovations in occupied buildings?

Yes. Senior care renovation estimating adds phasing, temporary partitions, dust control, after-hours work and elevator or corridor closures that new construction does not carry. We list those items as separate line items with their own units so the premium is visible rather than buried in a general conditions percentage.

What code items appear in your takeoffs?

We flag items driven by IBC occupancy classification, NFPA 101 egress and ANSI A117.1 accessible clear floor space, including grab bar backing, shower seats, door clear widths and turning radii. We note the code edition shown on the drawings and tell you to confirm the local edition with the building department.

Send plans for a senior living takeoff

Send your construction documents, plan sheet index and any addenda, and we will review the set and quote a fixed fee with a confirmed delivery date. The estimate arrives as an Excel workbook and PDF summary with marked-up drawing pages.

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