A worker sits atop structural steel rising to support the Spencer Fox Eccles School of Medicine being constructed on the University of Utah’s Salt Lake City campus. The new building will be the “jewel on the hill,” says Chris Fields, Jacobsen vice president, referring to its prominent location as the entryway to the school’s health sciences campus. Crews are carefully coordinating the flying steel as they negotiate a very tight site that is directly adjacent to three existing buildings, including an active rehabilitation hospital. Concurrent offsite fabrication of the exterior envelope is underway and will help the construction team enclose the building in half the time of traditional means. This approach necessitated employing half tolerances in all dimensions within the building’s design.