CAD is a process. Over the last thirty years, pretty much everybody works in actual size units (integrated circuit design, and pipiing being the primary stand outs).
Those units are whatever convention is used by the office or the product, might be inches, might be feet (silly civil engineers), millimeters, meters, even decimeters for some furniture.
You then genrate a model of whatever is being documented, this might be a unitary solid or a conglomeration of parts.
In the case of things like buildings, vehicles, and the like, often the exterior extents Those extents then define the internal parts. Often the one computer model is used to check the subassemblies, the better to track overall changes.
In automobile desing, it's not uncommon to define the outside shell to then create the various parts. The various parts are then "assembled" in a different file, then checked against the original model for dimensional compliance. (Several of the large makers then have the vendors for those parts rapid prototype them per each vendor's manufacturing process, thenthe prototypes are assembled in full scale to "prove" the design before awarding subcontracts.
Personally, I've used AutoCAD a zillion years. I've started from a 3d model of the finished shape, and then "cut" it to make body plans, waterlines, futtoks and the like. The same software routines that sut solids into 2d could easily be used to lofte frames one at a time. Then bulkheads, keels, and the like.
I know it works in reverse as well, I've taken body plans, water lines, etc., drawn them into CAD to create a faired solid. (Had to do this to fix some wood plank on bulkhead kits.)
But, as to scale--cad has no scale. Plans, limeted, finite things of paper, have scales.