BLD2021-0049+Application+1.13.2021_1.59.15_PM+1988358CITY OF EDMONDS nnyst,ilaingPermit.com
Mechanical Application #907174 - Driessen Residence
Applicant
First Name Last Name Company Name
Matt Clements Premier Mechanical & Electric
Number Street Apartment or Suite Number E-mail Address
22118 20th Ave SE 125 mattc(D_premierme.net
City State Zip Phone Number Extension
Bothell WA 98021 2068560079
Contractor
Company Name
Premier Mechanical & Electric, LLC
Number Street
Apartment or Suite Number
22118 20th Ave SE
Ste. 125
City
State Zip
Phone Number Extension
Bothell
WA 98021
(206)856-0079
State License Number
License Expiration Date
UBI # E-mail Address
PREMIME921QG
11/7/2022
602864254 mattc(o-)_premierme.net
Project Location
Number Street
Floor Number Suite or Room Number
9229 OLYMPIC VIEW DR
City
Zip Code
County Parcel Number
EDMONDS
98020
27031300101500
Associated Building Permit Number
Tenant Name
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name Last Name or Company Name
Peter Driessen
Number Street Apartment or Suite Number
2610 164TH ST SW A434
City State Zip
LYNNWOOD WA 98087
Certification Statement - The applicant states:
I certify that I am the owner of this property or the owner's authorized agent. If acting as an authorized agent, I further certify that I have full power and
authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I
have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work
requires a licensed contractor to perform the work, the information will be provided prior to permit issuance.
Date Submitted: 1/13/2021 Submitted By: Matt Clements
Page 1 of 2
CITY OF EDMONDS Mysu;laingPerrnit.com
Mechanical Application #907174 - Driessen Residence
Project Contact
Company Name: Premier Mechanical & Electric LLC
Name: Scott Heideman Email: scotth@premierme.net
Address: 22118 20th Ave SE Suite 125 Phone #: 2064027554
Bothell WA 98021
Project Type
Single Family Residential
Activity Type Scope of Work
New Mechanical
Project Name: Driessen Residence
Description of Work: Installing HVAC and radiant mechanical system in newly constructed residence.
Project Details
Boilers and Water Heaters
Boiler or Compressor 100,001 to 499,000 BTU
Exhaust Systems
Dryer Exhaust
Exhaust Fan with Duct
Exhaust Fan with duct - Kitchen - SF
Appliances and Equipment
Gas Piping Outlets - Mech
HVAC Systems
Furnace
Heat Pump
Hydronic Piping With Boiler
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
1
1
5
1
3
1
1
1
Mechanical room and throughout the house.
Page 2 of 2