BNB provided preconstruction and construction services for this $63 million first phase of John Muir’s significant master planned expansion. The 327,000 SF, eight-story structure included 44,000 SF of medical use and 768 stalls of parking. Medical uses, which are partially below grade on the first floor, include a surgery center, endoscopy, imaging, and an eye lab. BNB assisted with the coordination of the fully-designed MEP system and interfaces with five architectural and tenant improvement designers. The biggest challenges posed by this project were the issues related to the combined use of the overall structure as a medical facility and a parking structure. BNB supported the design efforts by providing budgeting, scheduling, value analysis, and constructability reviews to help integrate the challenging vibration, acoustic, and structural design elements into the project. Four phases leading up to the project included the remodel of the hospital loading dock, helistop relocation, and site utilities relocations (OSHPD). Construction was completed December 2007.

Completed April 2008, this $6.5 million project consisted of a complete seismic renovation and interior improvements to an existing one-story, 10,000 SF medical office building as well as tenant improvement construction and exterior improvements to accommodate a new Off-Site Imaging Outpatient Center. The facility replaces an imaging clinic, doctor offices, and physical therapy clinic. The new Stanford Medicine Imaging Center houses two state of the art magnetic resonance (MR) suites and two computed tomography (CT) scan rooms.

The 1960’s structure received substantial structural upgrades, including lateral support walls on either side of the front façade, along with additional roof framing members, columns, and adding connectors to perimeter walls and footings. Mechanical, electrical, and plumbing systems were replaced in order to support the requirements of the imaging equipment housed in this building.

In April 2005, BNB completed construction of this 95,000 SF Health and Wellness Center on the Muckleshoot Indian Tribe’s 11.3-acre site. The $15.5 million Center encompasses medical, dental, counseling, and recreation facilities. The overall project included public entrances with lobbies and reception areas for each major use within the center. Additionally, administrative offices and conference facilities are located throughout. Other facilities which support the entire complex include medical and dental records rooms, a computer server room, storage facilities, a loading dock, and a full-service kitchen. Individual elements of the project include:

Medical - Urgent care and triage, examination rooms, a blood room, a laboratory, and an imaging center.

Dental - 12 dental examination areas, dental operating rooms, and dental imaging.

Counseling Center - Individual counseling offices, childcare facilities, and a demonstration and training kitchen.

Physical Therapy - Therapy pool, exercise room, weight room, aquatic facility with lap pool, locker rooms, a full-size gymnasium, and two racquetball courts.

Site elements on this project included water features, an amphitheater, and gardens. All telephone, cabling, natural gas, and electric utilities, as well as roadways, were extended approximately one-third mile to provide services and access to the Health and Wellness Center.

Providence Health and Services relocated their corporate headquarters to this 120,000 SF three building campus. The $12 million build-out included renovations to the two-story South, East, and West Buildings of the Valley Office Park. Amenities included executive and support offices, conference center, library, fitness center, cafeteria with seating for 100, and a full-service kitchen.

The project required special attention to the structure. To avoid compromising the structural slab, BNB performed 400 lineal feet of tunneling to install underslab plumbing. The building’s also required installation of complex audio/visual equipment to allow for teleconferencing capabilities and multi-media equipment.

Completed November 2008, this project is LEED® Gold certified.

Completed September 2009, this $13 million design-build project included the shell and core construction of a 45,000 SF medical office building with plans for a first floor oncology center. Also on the first floor, the lobby was built-out to feature high-end tiles with deco-poured flooring. The three-story, concrete tilt-up building also houses rooftop equipment, elevators, and a VAV unit on each floor. Also included in the project was a new 105,000 SF, four-level parking structure with over 310 stalls featuring a unique lighting system that illuminates the cast-in-place pillars.

Located on a 10-acre site, this $9.5 million project for the Community Hospital of Monterey Peninsula (CHOMP) includes a 27,500 SF new medical office building. The two-story structure will house an urgent care clinic, primary care facility, blood laboratory, and additional space for x-ray and ultra sound capabilities. The OSHPD-III facility will also require extensive site work including removal of underground utilities and the construction of an underground storm water percolation facility. This 14-month project is scheduled for completion June 2011.

An 11,200 SF addition was constructed at Marcus Daly Memorial Hospital to accommodate a new Rehabilitation Center. The project included the addition of a new rehabilitation wing which includes adult therapy rooms, pediatric rooms, men’s and women’s locker rooms, hydrotherapy pool, a nurse’s station, and reception area. Thirteen treatment rooms were constructed for adult rehabilitation with a central walking track and a gym area. Adjacent to the adult therapy rooms are four pediatric rooms complete with a separate gym. All work was performed and coordinated with tenants to avoid disruption while the facility remained fully-operational throughout the nine-month project.

This $3.9 million, 9,500 SF project was completed in two phases. Phase One will converted two rooms within the C Patient Unit on the first floor of the main hospital into three patient rooms. The remainder of the unit underwent a cosmetic upgrade and a new Nurses Station was added. The first phase was constructed as swing space so that the G Patient Unit could be relocated to accommodate the new construction.

Phase Two included the demolition of existing patient rooms as well as the construction of 17 new patient rooms with new utility distribution, finish upgrades, and ADA upgrades. The project also included the installation of a new air handling unit, exhaust to all patient rooms, installation of new gas and process piping to all patient rooms, and new finishes throughout the unit.

This two-story, 12,000 SF Medical Office Building was constructed from structural steel, open web joists, and a concrete metal deck with a stucco exterior and tile roofing. The $3.5 million facility accommodates multiple tenants with Davita, Inc. occupying the first floor with a full-service kidney dialysis clinic. Following shell construction, BNB provided interior renovations (OSHPD-III classification) to accommodate an eight-station kidney dialysis clinic for Davita.

Improvements to the Lorber Building’s existing four-story structure included interior renovations to the third and fourth floors of the skilled nursing facility. This $4 million, OSHPD-I regulated project remained occupied and fully-functional throughout the 11-month project. This logistical challenge requires day-to-day coordination with the owner to avoid disruption to the residents. The project features extremely high-end finishes for an OSHPD project such as patchwork carpet in the hallways and main corridors, all casework is veneer, and mosaic tiles are featured throughout the facility.

Davita provides dialysis services for individuals diagnosed with chronic kidney failure. Our work for Davita included the construction of ground up buildings as well as renovation of existing structures into clinics. BNB worked closely with the owner and architect to ensure each detail of the Davita clinics was incorporated into the design and construction of each facility. Each project included from 10 to 25 dialysis stations plus one or more isolated dialysis stations. Facilities also included training rooms, offices, conference rooms, nurses’ stations, and materials storage. All clinics required water purification and process piping to support dialysis process.