Most practice owners overpay on a build-out before an architect draws a single line. David Ehrman steps in at site selection to catch inflated budgets and over-engineered plans early — saving owners 20–30% on construction, and months of redesign.
Inquire for FREE consultationMost practice owners have never run a build-out. By the time an architect delivers plans and a general contractor prices them, the expensive decisions are already committed.
01
Locked in the lease
The lease can quietly push six figures of construction cost onto the tenant. TI Advisory helps negotiate those terms before signing — while the owner still holds leverage.
02
Locked in the design
Left unchecked, architects and contractors design systems the practice will never use. TI Advisory keeps the plan honest from the first sketch.
David Ehrman is engaged before any commitment is made. He tours candidate spaces, tests each against real construction costs, and negotiates the lease — so the owner enters design knowing exactly what the practice needs and what's fair.
When plans are already in motion, David Ehrman reviews the drawings and the contractor's pricing line by line — cutting over-built systems and padded specs before bid day.
The math is straightforward: leverage and time both compound in the owner's favor when the advisor is at the table first.
20–30%
On construction and planning costs
The advisor catches over-engineering before it is drawn into the plans. By aligning the program with real construction needs, the practice avoids paying for scope that adds cost without adding value.
Months
Saved by avoiding redesign
When the owner walks into the first design meeting already knowing exactly what the practice needs, the architect and designer work far more efficiently. Less back-and-forth, fewer redesigns, a faster path to permit and construction.
David Ehrman is a licensed General Contractor with a design background and 25+ build-outs across five states — from medical and dental offices to therapy centers and manufacturing. He works only for the owner: he does not build the project and does not design it. He ensures the professionals who do stay on the owner's budget, timeline, and plan.
Thirty minutes is usually enough to reveal whether an owner is about to make a costly mistake — or is on solid ground. Initial consultations are free.