Question for US people:
I've observed your living spaces in the USA, we often see this type of trapdoor in the floor, why is that?
In France we don't have this system...
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I can be air-conditioning, heat or both.
At my parents, it's quit different: the heat is from baseboard heat (hot water pipes with fins and covers that direct the cooler air about 3-4 cm from the floor through the fins and curve the natural convection of heat rises outward away from the walls into the room. Thus, due to this slow convection (no fans) from along most of the baseboard area, the room, just feels naturally (consistent throughout the rooms [upstairs and down]) warm, with no blowing air. It is extremely efficient, using a natural gas (from the ground) powered boiler system that also supplies hot water to the house.
No holes in the floor or difficult to access ductwork running under the house (also not affected by any flooding of the property that occurs about once every 20-40 years).
The AC comes from vents similar to these floor vents, that are mounted in the ceiling or upper walls, blowing slowly across the ceilings (also where the air returns to the system are: up high, catching the naturally warmer air to cool it down) when it is actively cooling, again, using the natural convection of falling, cooler air going across the ceiling, mixing and falling into the rooms (for a no blowing on you, air in the rooms experience).
My Father was a Master Plumber, Heating and Air Conditioning General contractor with him and my mother owning their own family contracting business (mostly industrial [started by my father's father in 1927]).
They (my mother and father) designed and (with their friends) built this house in 1964. (I was 8 when we moved in in 1965. Prior to that, we lived in an above the 8 car garage apartment behind someone else's home.
From day one, my parents home has had a central vacuum cleaning system (you only carry a very light & its head), a central (hard wired) intercom system (including a speaker/monitor system in each bedroom, the kitchen and at the front door), and many other innovations, some of which I have never seen anywhere else. (anywhere else being in North America, Central America, England, Central Europe, Asia, Australia, Islands in the Indian Ocean, the Western Pacific Ocean and Oceana).
Yeah, I know, that excludes a lot of the world but it also includes a lot of the world.