Engineering design intent is often communicated through rasterized orthographic drawings. However, downstream workflows require editable and parametrically defined 3D computer-aided design (CAD) models. To bridge this gap, we introduce vision language model (VLM) frameworks specifically designed to translate rasterized orthographic drawings into editable CadQuery code, which can then be converted into 3D CAD models. Firstly, due to unavailability of large scale orthographic drawing datasets, we create a pythonOCC-based drawing generator that renders first-angle orthographic projections from STEP models, with dashed hidden lines and bounding box dimensions, and generate over 1 million drawings from existing 3D CAD model datasets. We also create a dataset of 100 drawings with manually dimensioned features. We show that supervised fine-tuning applied on small open-source VLMs when paired CadQuery code is available improves reconstruction accuracy on corresponding test sets. For datasets without code labels, geometry-grounded reinforcement learning is performed which uses generated-solid intersection-over-union (IoU) with ground truth solid as the reward, improving code validity and cross-dataset generalization. Then, an inference time self-refinement framework for frontier VLMs is introduced which repeatedly repairs invalid codes and compares orthographic projections of generated 3D models with the input drawing to revise the CadQuery code. Our self-refinement framework with GPT 5.5 achieves 100% valid code generation and the highest mean IoU across all test sets, with an average relative improvement of more than 11% over the next-best method. We show that leveraging VLMs can effectively pave the way forward for orthographic drawing to 3D CAD reconstruction. Our implementation is available at https://github.com/AdityaJoglekar/Ortho2CAD.

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