Pruitt Eberly Stone, Inc. (PES) worked with Duke Construction to provide structural design services in BIM (Revit) format for a 75,000 sq. ft., three-story medical office building. The design consisted of steel frame construction and roof framing made up of steel bar joists and covered with metal deck roof sheathing. Reinforced slab-on-grade supported the composite steel elevated floors with concrete slab. A shallow foundation system supported a precast concrete panel wall system. The PES team overcame budget constraints and created a design that supports the LEED green building rating system.