Energy Efficient Multi-Family (GAS)
Allowances for  Tenant Furnished Utilities and other Services U.S. Department of Housing and Urban Development                                                               Office of Public and Indian Housing OMB Approval No. 2577-0169          Note: Units must meet EPA or DOE Energy Efficiency Home Rating Score of 100 or Lower
Locality:  LONG BEACH, CALIFORNIA Unit Type:    Energy Efficient Multi- Family (Gas)              IECC Code Compliant Effective:        April 2, 2012
Utility or Service Monthly Dollar Allowances
0 BR 1 BR 2 BR 3 BR 4 BR 5 BR
Heating a. Natural Gas  $2.00 $2.00 $2.00 $3.00 $3.00 $5.00
  b. Bottle Gas/Propane            
  c. Electric            
  d. Oil / Other            
Cooking a. Natural Gas  $3.00 $4.00 $5.00 $6.00 $8.00 $8.00
  b. Bottle Gas/Propane            
  c. Electric            
  d. Coal / Other            
Other Electric (Lights & Appliances) $16.00 $21.00 $28.00 $29.00 $38.00 $40.00
Air Conditioning $3.00 $4.00 $5.00 $7.00 $7.00 $8.00
Water Heating a. Natural Gas  $5.00 $9.00 $11.00 $13.00 $13.00 $15.00
  b. Bottle Gas/Propane            
  c. Electric            
  d. Oil / Other            
Water  $20.00 $20.00 $24.00 $32.00 $37.00 $45.00
Sewer    $9.00 $9.00 $9.00 $10.00 $11.00 $12.00
Trash Collection $22.00 $22.00 $22.00 $22.00 $22.00 $22.00
Range / Microwave     Tenant-purchased $12.00 $12.00 $12.00 $12.00 $12.00 $12.00
Refrigerator    Tenant-purchased $13.00 $13.00 $13.00 $13.00 $13.00 $13.00
Other--specify:  Monthly Electric Fee $0.71                   Monthly Gas Fee $5.10 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
$5.00 $5.00 $5.00 $5.00 $5.00 $5.00
Actual Family  Allowances Utility or Service per month cost
To be used by the family to compute allowance.  Complete below for the actual unit rented. Heating $
Cooking $
Name of Family Other Electric $
  Air Conditioning $
Water Heating $
Address of Unit Water $
  Sewer $
  Trash Collection $
  Range / Microwave $
Refrigerator $
Other $
Number of Bedrooms Other $
Total $