You need a permit before you install, change, fix, or replace mechanical, electrical, or plumbing systems.
MEP Permits are separate from Building Permits. You must get all of them if your project needs them.
If you’re building or remodeling a house, duplex, or ADU (Accessory Dwelling Unit), the MEP work should be included in a Residential Building Combination Permit (RBC), so you won’t need separate MEP permits.