This study analyzes a high-rise building with B-level height (i.e., a total height of 146.5 m) and a shear wall structure. Since the project contains many plane irregularities (including 1a torsional irregularity, 1b eccentric arrangement, and 2a plane convex irregularity), it should be treated as a super high-rise building. This study introduces the main characteristics and overrun conditions of the project and describes the structural design of the foundation and the basement, upper structural layout, force conditions under frequent, fortified, and rare earthquake actions, and structural performance-based objectives in detail. The following measures can be adopted to address the overrun problem. First, the floor at the thin waist of the structure was thickened to 150 mm and reinforced in the bilayer and bidirectional patterns, with a reinforcement ratio of no less than 0.25%. The damage condition on the floors under a great earthquake was analyzed. The vertical components at the waist were reinforced to constrain the extension of the edge components toward the top. Second, the structure’s peripheral stiffness was strengthened to enhance the anti-torsional performance and minimize the adverse effects on torsional irregularities. Third, using two software programs, the performance-based envelope design under medium earthquake action and dynamic elastoplastic analysis under great earthquake action were analyzed to ensure structural safety. Fourth, the edge components were constrained for the shear wall columns with axial-to-compressive stress strength ratios exceeding 0.3. For the overall structure and critical parts, force conditions under frequent, fortified, and rare earthquake conditions were calculated and examined with the SATWE, MIDAS GEN, and SAUSAGE software packages. The calculation results revealed that the structure shows favorable anti-seismic performance, with an overall anti-seismic C-level and a safe and reliable structure. The structural design method introduced in this article can promote the sustainable development of structural design.