Presbyterian Healthcare Services downtown hospital campus has always had constraints with available parking. As the demand continued to grow for parking, PHS decided to build a new 3 story parking garage that took the place of a outdoor parking lot. The 3 story parking garage provided enough parking to fit 1,200 vehicles. The site was challenging from a logistical standpoint because the footprint of the building encompassed the entire parking lot and Enterprise Builders Corporation had to build right near the limits of construction with a busy campus right adjacent to our construction site. In addition the initial site had to be cut over 20’ on the south half of the footprint and led to an export of approximately 60,000 cubic yards of soil. As if the tight site constraints were not enough to deal with, the project started at the height of the global Covid 19 pandemic. Due to Covid outbreaks the precast concrete supplier had to close their plant multiple times due to outbreaks. This caused a delay in delivering the precast concrete, however, Enterprise Builders Corporation was proactive in assisting the precast concrete supplier with additional labor to help get the project back on track.